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General NPI Number Information
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NPI Number | 1245282714
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTH CARE SRVCS, INC.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 5925 TILGHMAN ST SUITE 150
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City | ALLENTOWN
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State | PA
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Zip | 18104-9159
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Country | US
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Telephone | 610-434-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 200 3RD ST
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City | BLAKELY
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State | PA
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Zip | 18447-1017
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Country | US
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Telephone | 570-489-6781
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARL ZESHONSKI SR.
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Credential |
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Telephone | 570-489-6781
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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 | 720205
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License Number State | PA
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