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General NPI Number Information
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NPI Number | 1366929903
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Entity Type | Organization
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Legal Business Name | HUMANE HOME CARE AGENCY
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 3235 KENSINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 267-321-9939
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 WILLITS RD
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City | PHILADELPHIA
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State | PA
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Zip | 19136-1115
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Country | US
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Telephone | 267-321-9939
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Fax | 215-203-1966
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARK TAY
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Credential |
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Telephone | 267-321-9939
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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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