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General NPI Number Information
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NPI Number | 1366671810
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Entity Type | Organization
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Legal Business Name | MULTICARE HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 1035 W BRISTOL RD STE A
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City | WARMINSTER
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State | PA
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Zip | 18974-1009
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Country | US
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Telephone | 215-457-0582
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Fax | 215-457-0589
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Provider Business Mailing Address
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Address Line | 1035 W BRISTOL RD STE A
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City | WARMINSTER
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State | PA
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Zip | 18974-1009
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Country | US
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Telephone | 215-457-0582
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Fax | 215-457-0589
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEONID SAFRO
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Credential |
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Telephone | 215-457-0582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 03470501
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License Number State | PA
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