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General NPI Number Information
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NPI Number | 1174296743
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Entity Type | Organization
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Legal Business Name | HEALTH AT HOME CENTRAL, LLC
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 6802 PARAGON PL STE 230
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City | RICHMOND
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State | VA
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Zip | 23230-1644
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Country | US
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Telephone | 804-525-1350
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Fax | 804-525-1351
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Provider Business Mailing Address
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Address Line | 4300 HADDONFIELD RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-3376
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Country | US
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Telephone | 973-909-5159
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW WILLIAM TANZER
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Credential |
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Telephone | 856-662-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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