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General NPI Number Information
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NPI Number | 1376396440
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Entity Type | Organization
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Legal Business Name | CARELAND CLINIC & HOME HEALTH LLC
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 2211 QUARRY DR STE E58C
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City | WEST LAWN
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State | PA
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Zip | 19609-1170
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Country | US
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Telephone | 484-773-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 5017 PEPPER LN
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-9505
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Country | US
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Telephone | 484-773-1141
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Fax |
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Authorized Official
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Title or Position | NP
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Name | KASSANDRA BARTHELEMY
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Credential |
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Telephone | 484-773-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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