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General NPI Number Information
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NPI Number | 1356636617
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Entity Type | Organization
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Legal Business Name | RELIANCE FAMILY CARE SERVICES INC.
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 2146 S BROAD ST 2ND FL
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City | PHILADELPHIA
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State | PA
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Zip | 19145-3905
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Country | US
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Telephone | 267-519-0672
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Fax |
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Provider Business Mailing Address
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Address Line | 2146 S BROAD ST 2ND FL
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City | PHILADELPHIA
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State | PA
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Zip | 19145-3905
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Country | US
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Telephone | 267-519-0672
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ERNEST G COLE
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Credential | MA
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Telephone | 267-519-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 21403601
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License Number State | PA
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