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General NPI Number Information
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NPI Number | 1275479669
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Entity Type | Organization
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Legal Business Name | ABC SOLUTION-HOME MODIFICATION SERVICES,LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 111 MOUNTAINVIEW RD
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-4730
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Country | US
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Telephone | 215-696-4697
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Fax | 267-930-6261
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Provider Business Mailing Address
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Address Line | 6 LOCUST LN
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City | NEWTOWN
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State | PA
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Zip | 18940-3249
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Country | US
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Telephone | 215-696-4697
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Fax | 267-930-6261
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. SERGUEI PETOUHOV
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Credential |
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Telephone | 215-696-4697
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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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