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General NPI Number Information
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NPI Number | 1144560202
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Entity Type | Organization
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Legal Business Name | CAREBUILDERS AT HOME, INC
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 1325 SPRUCE ST STE 4000
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5634
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Country | US
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Telephone | 215-681-5163
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 SPRUCE ST STE 4000
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5634
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Country | US
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Telephone | 215-681-5163
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL L GLENNON
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Credential |
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Telephone | 215-681-5163
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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 | 23433601
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License Number State | PA
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