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General NPI Number Information
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NPI Number | 1083801823
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Entity Type | Organization
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Legal Business Name | NOVACARE SERVICES INC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 549 FOUNDRY RD
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City | NORRISTOWN
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State | PA
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Zip | 19403-3901
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Country | US
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Telephone | 610-278-0608
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Fax | 610-278-0613
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Provider Business Mailing Address
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Address Line | 549 FOUNDRY RD
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City | NORRISTOWN
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State | PA
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Zip | 19403-3901
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Country | US
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Telephone | 610-278-0608
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Fax | 610-278-0613
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZAHAR TKACH
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Credential |
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Telephone | 610-278-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | N2212030
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 07015
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License Number State | PA
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