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General NPI Number Information
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NPI Number | 1063403046
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Entity Type | Organization
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Legal Business Name | THE KEPLER HOME, INC.
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 44 S. MARKET ST.
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City | ELIZABETHVILLE
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State | PA
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Zip | 17023-0680
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Country | US
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Telephone | 717-362-8370
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Fax | 717-362-1015
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Provider Business Mailing Address
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Address Line | PO BOX 680 44 S. MARKET ST.
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City | ELIZABETHVILLE
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State | PA
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Zip | 17023-0680
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Country | US
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Telephone | 717-362-8370
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Fax | 717-362-1015
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS F PREGENT
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Credential | NHA
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Telephone | 717-362-8370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 111002
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License Number State | PA
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