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General NPI Number Information
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NPI Number | 1083288286
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Entity Type | Organization
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Legal Business Name | ST. BRIDGET HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 19 WISMER RD
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City | SCHWENKSVILLE
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State | PA
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Zip | 19473-2835
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Country | US
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Telephone | 267-625-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 19 WISMER RD
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City | SCHWENKSVILLE
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State | PA
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Zip | 19473-2835
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Country | US
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Telephone | 267-625-6001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ONYINYE NWAKAMMA
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Credential |
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Telephone | 267-625-6001
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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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