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General NPI Number Information
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NPI Number | 1194334466
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Entity Type | Organization
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Legal Business Name | AMBASSADOR HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 118080 BUSTLETON AV SUITE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19116
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Country | US
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Telephone | 215-486-1080
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Fax | 215-613-8788
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Provider Business Mailing Address
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Address Line | 626 JACKSONVILLE RD
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City | WARMINSTER
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State | PA
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Zip | 18974-4872
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Country | US
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Telephone | 267-770-6729
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Fax | 215-613-8788
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARINA AMERKHANOVA
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Credential |
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Telephone | 267-258-3396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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