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General NPI Number Information
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NPI Number | 1396140570
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Entity Type | Individual
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Provider Name | LAURA KALU BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 03/07/2015
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Provider Practice Location Address
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Address Line | 12401 ACADEMY RD 210
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1932
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Country | US
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Telephone | 888-851-5967
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Fax | 267-538-6529
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Provider Business Mailing Address
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Address Line | 12401 ACADEMY RD 210
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1932
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Country | US
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Telephone | 888-851-5967
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Fax | 267-538-6529
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 26203601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 26203601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 26203601
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 26203601
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 26203601
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN659686
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License Number State | PA
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