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General NPI Number Information
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NPI Number | 1124831607
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Entity Type | Organization
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Legal Business Name | PENN LIFE CARE HEALTH LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3070 BRISTOL PIKE STE 1-114
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City | BENSALEM
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State | PA
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Zip | 19020-5356
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Country | US
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Telephone | 267-217-3566
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Fax | 215-494-3264
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Provider Business Mailing Address
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Address Line | 3070 BRISTOL PIKE STE 1-114
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City | BENSALEM
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State | PA
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Zip | 19020-5356
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Country | US
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Telephone | 267-217-3566
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KANWAL RIAZ
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Credential |
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Telephone | 267-217-3566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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