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NPI 1326310103

NPI 1326310103 : ALMOST LIKE HOME,INC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1326310103
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALMOST LIKE HOME,INC 
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Dates
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    Enumeration Date     |    02/08/2012
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    Last Update Date     |    02/08/2012
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Provider Practice Location Address
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    Address Line         |    129 E GORGAS LN 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19119-2151
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    Country              |    US
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    Telephone            |    267-385-5931
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    Fax                  |    267-323-2143
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Provider Business Mailing Address
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    Address Line         |    129 E GORGAS LN 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19119-2151
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    Country              |    US
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    Telephone            |    267-385-5931
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    Fax                  |    267-323-2143
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MS. MARY L. MARTIN 
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    Credential           |    
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    Telephone            |    267-385-5931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3140N1450X
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    Taxonomy Name        |    Pediatric Skilled Nursing Facility
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    License Number       |    22834001
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    License Number State |    PA
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