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General NPI Number Information
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NPI Number | 1336565936
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Entity Type | Organization
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Legal Business Name | ESTEEM IN-HOME CARE
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 1626 S 53RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-5444
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Country | US
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Telephone | 610-597-2710
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 S 53RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-5444
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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 | CEO
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Name | MR. ERIC BURKE
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Credential |
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Telephone | 610-597-2710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | PA
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