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General NPI Number Information
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NPI Number | 1194109389
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Entity Type | Organization
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Legal Business Name | SENIOR CARE CENTERS OF PENNSYLVANIA, INC.
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 7536 HAVERFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2109
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Country | US
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Telephone | 215-877-0202
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Fax | 215-878-3315
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Provider Business Mailing Address
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Address Line | 6 NESHAMINY INTERPLEX SUITE 401
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City | TREVOSE
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State | PA
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Zip | 19053-6942
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Country | US
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Telephone | 215-642-6600
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Fax | 215-642-6610
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Authorized Official
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Title or Position | CONTRACTS MANAGER
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Name | DEBORA HOCKENBURY
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Credential |
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Telephone | 215-642-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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