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General NPI Number Information
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NPI Number | 1073085502
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Entity Type | Organization
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Legal Business Name | REAL CARE ASSISTANCE
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 12/21/2018
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Provider Practice Location Address
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Address Line | 509 NOBLE ST
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City | NORRISTOWN
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State | PA
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Zip | 19401
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Country | US
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Telephone | 484-688-3892
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Fax | 484-461-4844
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Provider Business Mailing Address
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Address Line | PO BOX 774
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City | NORRISTOWN
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State | PA
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Zip | 19404
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Country | US
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Telephone |
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Fax | 484-461-4844
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Authorized Official
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Title or Position | CEO CHIEF EXECUTIVE OFFICER
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Name | ATEYA AVERY
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Credential |
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Telephone | 484-688-3892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 251B00000X
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Taxonomy Name | Case Management 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 | 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 #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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