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General NPI Number Information
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NPI Number | 1346616109
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Entity Type | Organization
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Legal Business Name | OPEN HANDS HOME CARE
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 2301 WOODWARD ST APT F5
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City | PHILADELPHIA
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State | PA
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Zip | 19115-5144
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Country | US
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Telephone | 267-977-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 REAR EDGLEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-3530
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Country | US
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Telephone | 267-977-2828
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | SHELLY TERRY E MCNEAR
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Credential |
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Telephone | 267-977-2828
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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