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General NPI Number Information
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NPI Number | 1093136202
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Entity Type | Organization
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Legal Business Name | TANYA'S HOME HEALTH SERVICE
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 2331 WATKINS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-1828
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Country | US
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Telephone | 215-397-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 WATKINS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145
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Country | US
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Telephone | 215-397-0227
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSING ASSISTANT
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Name | DOMINIQUE BUSSEY
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Credential |
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Telephone | 215-397-0227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 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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