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General NPI Number Information
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NPI Number | 1215243977
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Entity Type | Organization
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Legal Business Name | CHAD HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 1335 W TABOR RD STE 210
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3040
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Country | US
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Telephone | 267-297-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 PITKIN AVE
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City | BROOKLYN
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State | NY
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Zip | 11233-5110
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Country | US
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Telephone | 718-221-6873
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. YVONNE MC MILLAN
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Credential |
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Telephone | 718-221-6873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NY
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