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General NPI Number Information
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NPI Number | 1295130474
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Entity Type | Organization
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Legal Business Name | LARIE HOME CARE SERVICES & STAFFING
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 12401 ACADEMY RD 210
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1932
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Country | US
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Telephone | 888-851-5967
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Fax | 267-538-6529
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Provider Business Mailing Address
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Address Line | 12401 ACADEMY RD 210
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1932
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Country | US
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Telephone | 888-851-5967
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Fax | 267-538-6529
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Authorized Official
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Title or Position | SENIOR ADVISOR
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Name | MS. LAURA KALU
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Credential | BSN, RN
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Telephone | 888-851-5967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 26203601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 26203601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 26203601
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License Number State | PA
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