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General NPI Number Information
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NPI Number | 1053001388
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Entity Type | Organization
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Legal Business Name | ADJUAHOME CARE LLC
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 40 S 5TH ST # 100-501
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City | ALLENTOWN
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State | PA
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Zip | 18101-1622
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Country | US
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Telephone | 484-549-0031
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Fax | 484-549-0032
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Provider Business Mailing Address
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Address Line | 1101 W GIRARD AVE APT 202F
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1151
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Country | US
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Telephone | 267-205-4303
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ADJUA KEEL
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Credential |
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Telephone | 267-205-4303
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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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