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General NPI Number Information
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NPI Number | 1144576406
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Entity Type | Organization
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Legal Business Name | SPECTRUM HOME CARE
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 6535 N LAMBERT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-3112
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Country | US
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Telephone | 215-596-9399
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Fax |
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Provider Business Mailing Address
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Address Line | 6535 N LAMBERT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-3112
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Country | US
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Telephone | 215-596-9399
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RHONDA MICHELE ARCHER-ROBINSON
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Credential | RN
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Telephone | 215-596-9399
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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 | 23123601
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License Number State | PA
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