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General NPI Number Information
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NPI Number | 1285170183
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Entity Type | Organization
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Legal Business Name | KAY'S HOME CARE OF CHOICE
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 2318 ROSEMORE AVE K-13
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City | GLENSIDE
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State | PA
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Zip | 19038-4144
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Country | US
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Telephone | 267-242-9721
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Fax |
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Provider Business Mailing Address
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Address Line | 2318 ROSEMORE AVE K-13
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City | GLENSIDE
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State | PA
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Zip | 19038-4144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KENDRIA GREEN
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Credential |
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Telephone | 267-242-9721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 6464357
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License Number State | PA
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