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General NPI Number Information
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NPI Number | 1225520992
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Entity Type | Organization
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Legal Business Name | WE WIN ABUNDANT HOME CARE LLC
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1298 IVY LN
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City | NORTH WALES
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State | PA
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Zip | 19454-1914
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Country | US
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Telephone | 610-506-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 IVY LN
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City | NORTH WALES
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State | PA
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Zip | 19454-1914
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Country | US
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Telephone | 610-506-5174
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEENA JIMERSON
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Credential |
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Telephone | 610-506-5174
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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 | 36633601
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License Number State | PA
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