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General NPI Number Information
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NPI Number | 1275812422
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Entity Type | Organization
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Legal Business Name | FONDAY SENIORCARE SERVICES
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 2906 WILLIAM PENN HWY SUITE 211B
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City | EASTON
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State | PA
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Zip | 18045-5256
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Country | US
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Telephone | 610-252-7471
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Fax | 610-438-2649
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Provider Business Mailing Address
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Address Line | 2906 WILLIAM PENN HWY SUITE 211B
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City | EASTON
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State | PA
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Zip | 18045-5256
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Country | US
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Telephone | 610-252-7471
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Fax | 610-438-2649
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MFON NENE ADEDOYIN
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Credential | RN
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Telephone | 610-252-7471
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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 | 20933601
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License Number State | PA
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