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General NPI Number Information
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NPI Number | 1164962486
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Entity Type | Organization
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Legal Business Name | DELAWARE HOME CARE SPECIALISTS
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 891 OLD PUBLIC RD
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City | HOCKESSIN
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State | DE
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Zip | 19707-9631
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Country | US
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Telephone | 302-290-3571
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Fax |
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Provider Business Mailing Address
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Address Line | 891 OLD PUBLIC RD
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City | HOCKESSIN
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State | DE
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Zip | 19707-9631
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Country | US
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Telephone | 302-290-3571
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY VARI
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Credential | DPT
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Telephone | 302-290-3571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0002796
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License Number State | DE
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