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General NPI Number Information
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NPI Number | 1275925133
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Entity Type | Organization
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Legal Business Name | FAITH MEASURES NETWORK,LLC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 723 CORINTHIAN AVE APTC
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2614
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Country | US
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Telephone | 866-622-7119
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Fax | 610-441-7996
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Provider Business Mailing Address
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Address Line | 723 CORINTHIAN AVE FL 3 APTC
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2614
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Country | US
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Telephone | 215-921-1717
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Fax | 610-441-7996
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Authorized Official
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Title or Position | CEO/MANAGER
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Name | MS. MICHELLE DENISE FAGAN
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Credential |
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Telephone | 215-921-1717
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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 | 27313601
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License Number State | PA
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