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General NPI Number Information
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NPI Number | 1134487853
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Entity Type | Organization
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Legal Business Name | TRUSTED CARE, INC.
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 8040 ROOSEVELT BLVD SUITE 308
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2923
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Country | US
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Telephone | 215-322-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 36 TERRY DR SUITE Z
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City | TREVOSE
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State | PA
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Zip | 19053-6518
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Country | US
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Telephone | 215-396-0844
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS NIWINSKI
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Credential |
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Telephone | 215-396-0844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 19033601
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License Number State | PA
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