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General NPI Number Information
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NPI Number | 1013347947
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Entity Type | Organization
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Legal Business Name | PRECIOUS CARE AT HOME SERVICES INC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 1735 MARKET ST SUITE 3750
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City | PHILADELPHIA
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State | PA
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Zip | 19103-7501
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Country | US
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Telephone | 267-507-6156
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Fax | 267-507-6150
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Provider Business Mailing Address
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Address Line | 9401 MATHY DR STE 350
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City | FAIRFAX
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State | VA
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Zip | 22031-5333
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Country | US
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Telephone | 703-425-2273
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Fax | 703-425-2274
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MS. NAILEY M COLE
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Credential | RN
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Telephone | 703-425-2273
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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 | HCO-14403
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License Number State | VA
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