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General NPI Number Information
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NPI Number | 1033023882
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Entity Type | Organization
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Legal Business Name | MAMA SHEYS HOMESTYLE COOKING LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 106 W APSLEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-3602
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Country | US
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Telephone | 261-213-8039
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Fax |
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Provider Business Mailing Address
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Address Line | 106 W APSLEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-3602
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Country | US
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Telephone | 261-213-8039
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. NASHEY HINES
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Credential |
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Telephone | 302-729-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 132700000X
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Taxonomy Name | Dietary Manager
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | NULL
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