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General NPI Number Information
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NPI Number | 1093954711
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Entity Type | Organization
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Legal Business Name | AMERIBEST HOME CARE, LLC
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 990 SPRING GARDEN ST STE 201
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2606
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Country | US
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Telephone | 215-925-3313
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Fax | 215-925-3828
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Provider Business Mailing Address
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Address Line | 926-928 RACE ST SUITE 2A
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2437
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Country | US
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Telephone | 215-925-3313
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Fax | 215-925-3828
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Authorized Official
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Title or Position | CEO
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Name | MR. OMAR KHANATAEV
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Credential |
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Telephone | 215-925-3313
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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 | 02970501
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License Number State | PA
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