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General NPI Number Information
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NPI Number | 1265567648
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Entity Type | Organization
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Legal Business Name | COURTLAND II, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 6970 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2114
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Country | US
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Telephone | 215-951-7611
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Fax | 215-951-7709
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Provider Business Mailing Address
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Address Line | 6970 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2114
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Country | US
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Telephone | 215-951-7700
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Fax | 215-951-7709
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Authorized Official
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Title or Position | CLINICAL COORDINATOR
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Name | MR. JAMES REILLY
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Credential | RN, MSN, MBA
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Telephone | 215-951-7611
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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 |
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