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General NPI Number Information
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NPI Number | 1023305935
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Entity Type | Organization
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Legal Business Name | DUNWOODY ALLIED SERVICES
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 3500 W CHESTER PIKE
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4101
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Country | US
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Telephone | 610-359-4503
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 W CHESTER PIKE
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4101
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Country | US
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Telephone | 610-359-4503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. COLLEEN BOYCE MORAN
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Credential | REGISTERED NURSE
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Telephone | 610-359-4503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 16873601
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License Number State | PA
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