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General NPI Number Information
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NPI Number | 1144845546
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Entity Type | Organization
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Legal Business Name | PASSIONATELY CARING FOR YOU LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 111 MACDADE BLVD APT C15
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City | FOLSOM
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State | PA
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Zip | 19033-2927
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Country | US
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Telephone | 215-800-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 N OLMSTED PKWY
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City | MIDDLETOWN
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State | DE
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Zip | 19709-9994
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Country | US
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Telephone | 215-800-4840
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHAQUITE TAVARES
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Credential |
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Telephone | 215-800-4840
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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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