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General NPI Number Information
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NPI Number | 1124680491
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Entity Type | Organization
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Legal Business Name | MIDTOWN HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 07/07/2019
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Last Update Date | 07/07/2019
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Provider Practice Location Address
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Address Line | 8100 CASTOR AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2726
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Country | US
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Telephone | 215-552-2175
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Fax | 267-538-5909
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Provider Business Mailing Address
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Address Line | 8100 CASTOR AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2726
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Country | US
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Telephone | 215-552-2175
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Fax | 267-538-5909
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Authorized Official
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Title or Position | OFFICER
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Name | HAMDI S IBRAHIM
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Credential | HOME CARE
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Telephone | 215-552-2175
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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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