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General NPI Number Information
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NPI Number | 1982262523
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Entity Type | Organization
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Legal Business Name | HEALTHY AND LONG LIFE CARE INC.
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 13608 38TH AVE STE 305
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City | FLUSHING
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State | NY
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Zip | 11354-5412
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Country | US
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Telephone | 718-321-0791
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Fax | 718-353-3970
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Provider Business Mailing Address
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Address Line | 6072 60TH AVE
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City | MASPETH
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State | NY
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Zip | 11378-3446
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Country | US
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Telephone | 646-265-1090
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Fax | 718-326-3388
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHUN KAM CHUM
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Credential |
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Telephone | 718-321-0791
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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 |
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License Number State |
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