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General NPI Number Information
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NPI Number | 1386393007
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Entity Type | Organization
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Legal Business Name | REGAINCARE AT HOME LLC
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 2417 WELSH RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2213
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Country | US
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Telephone | 267-980-1291
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 WELSH RD STE 21
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2209
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Country | US
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Telephone | 267-980-1291
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRYSTAL MELVIN
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Credential |
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Telephone | 267-980-1291
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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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