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General NPI Number Information
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NPI Number | 1154854677
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Entity Type | Organization
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Legal Business Name | IMPACT HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 908 EDGEWOOD LN
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City | LANGHORNE
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State | PA
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Zip | 19053-1933
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Country | US
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Telephone | 215-284-7915
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Fax |
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Provider Business Mailing Address
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Address Line | 908 EDGEWOOD LN
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City | LANGHORNE
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State | PA
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Zip | 19053-1933
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORENCE AGBUGUI
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Credential |
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Telephone | 215-284-7915
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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 | 28253601
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License Number State | PA
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