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General NPI Number Information
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NPI Number | 1093325425
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Entity Type | Organization
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Legal Business Name | FAMILITY HOME CARE SOLUTIONS
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 21 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4223
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Country | US
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Telephone | 215-578-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 21 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4223
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Country | US
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Telephone | 215-578-1507
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MS. TEISHA MARIE SOR
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Credential |
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Telephone | 215-578-1507
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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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Taxonomy #2
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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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