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General NPI Number Information
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NPI Number | 1053688481
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Entity Type | Organization
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Legal Business Name | NURSEPRIDE CARE PARTNERS, LLC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 152 GARRETT RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-3113
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Country | US
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Telephone | 610-734-1818
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Fax | 610-734-1888
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Provider Business Mailing Address
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Address Line | 152 GARRETT RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-3113
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Country | US
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Telephone | 610-734-1818
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Fax | 610-734-1888
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY J. RICE
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Credential |
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Telephone | 610-734-1818
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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 | 19483601
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License Number State | PA
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