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General NPI Number Information
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NPI Number | 1386165546
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Entity Type | Organization
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Legal Business Name | ICARE HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9 6TH STREET EXT APT E
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City | ROCHESTER
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State | PA
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Zip | 15074-1464
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Country | US
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Telephone | 724-417-5604
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Fax |
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Provider Business Mailing Address
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Address Line | 9 6TH STREET EXT APT E
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City | ROCHESTER
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State | PA
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Zip | 15074-1464
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Country | US
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Telephone | 724-417-5604
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIANNA SMITH
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Credential |
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Telephone | 724-417-5604
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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 | 33323601
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License Number State | PA
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