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General NPI Number Information
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NPI Number | 1356949341
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Entity Type | Organization
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Legal Business Name | WADE HOME CARE LLC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 4954 RISING SUN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19120-3534
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Country | US
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Telephone | 215-430-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 4954 RISING SUN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19120-3534
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Country | US
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Telephone | 215-430-1252
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES WADE
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Credential |
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Telephone | 215-430-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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 |
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License Number State |
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