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General NPI Number Information
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NPI Number | 1285854687
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Entity Type | Organization
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Legal Business Name | SENIOR CARE CENTERS OF PENNSYLVANIA, INC.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 1165 SOUTH BROAD STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-561-2733
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Fax | 215-561-2737
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Provider Business Mailing Address
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Address Line | 6 NESHAMINY INTERPLEX DR SUITE 401
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City | TREVOSE
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State | PA
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Zip | 19053-6964
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Country | US
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Telephone | 215-642-6600
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Fax | 215-642-6610
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Authorized Official
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Title or Position | CONTRACTS MANAGER
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Name | DEBORA HOCKENBURY
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Credential |
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Telephone | 215-642-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 311060
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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