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General NPI Number Information
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NPI Number | 1962642272
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Entity Type | Organization
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Legal Business Name | MARGRIT E. HUMBURG
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 76 COVE RD PO 160
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City | NORTH SALEM
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State | NY
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Zip | 10560-0160
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Country | US
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Telephone | 914-669-5734
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Fax | 914-669-5734
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Provider Business Mailing Address
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Address Line | 76 COVE RD PO 160
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City | NORTH SALEM
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State | NY
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Zip | 10560-1334
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Country | US
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Telephone | 914-669-5734
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Fax | 914-669-5734
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | MS. MARGRIT E HUMBURG
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Credential | NURSE
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Telephone | 914-669-5734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 122702-1
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License Number State | NY
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