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General NPI Number Information
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NPI Number | 1194960898
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Entity Type | Organization
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Legal Business Name | JOURNEY OF LIFE HEALTHCARE
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 234 HEMLOCK AVE
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City | FORCE
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State | PA
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Zip | 15841
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Country | US
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Telephone | 814-389-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 234 HEMLOCK AVE PO BOX 28
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City | FORCE
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State | PA
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Zip | 15841
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Country | US
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Telephone | 814-389-4511
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. JENNIFER NICOLE GATERMANN
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Credential |
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Telephone | 814-389-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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