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General NPI Number Information
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NPI Number | 1215721899
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Entity Type | Organization
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Legal Business Name | MORAVIA HEALTH NETWORK, LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 4250 NORTH FAIRFAX DR. SUITE 600 #7542
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City | ARLINGTON
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State | VA
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Zip | 22203
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Country | US
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Telephone | 215-717-8650
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Fax | 215-717-7839
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Provider Business Mailing Address
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Address Line | 1500 WALNUT ST STE 1900
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3509
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Country | US
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Telephone | 215-717-8650
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Fax | 215-717-7839
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | C. FRANK IGWE
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Credential |
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Telephone | 215-717-8650
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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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