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General NPI Number Information
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NPI Number | 1104188622
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Entity Type | Organization
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Legal Business Name | ANDREA'S COMPASSIONATE CARE LLC.
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 697 CHERRY TREE RD
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City | UPPER CHICHESTER
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State | PA
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Zip | 19014-2407
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Country | US
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Telephone | 610-364-6856
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2498
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City | BOOTHWYN
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State | PA
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Zip | 19061-8498
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. ANDREA HAMAN
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Credential |
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Telephone | 610-364-6856
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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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