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General NPI Number Information
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NPI Number | 1053645242
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Entity Type | Organization
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Legal Business Name | THE POTTERS TOUCH IN HOME CARE
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 2459 WALNUT ST N/A
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City | HARRISBURG
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State | PA
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Zip | 17103-1750
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Country | US
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Telephone | 717-712-2951
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Fax | 717-695-0979
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Provider Business Mailing Address
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Address Line | 2459 WALNUT ST N/A
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City | HARRISBURG
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State | PA
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Zip | 17103-1750
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Country | US
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Telephone | 717-712-2951
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Fax | 717-695-0979
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. JUANITA L SAMUELS
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Credential |
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Telephone | 717-712-2951
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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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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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