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General NPI Number Information
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NPI Number | 1407572316
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Entity Type | Organization
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Legal Business Name | LEXICARE COMMUNITY CONNECTIONS LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 515 OLD SWEDE RD
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1208
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Country | US
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Telephone | 484-755-0690
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WILBUR DR
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City | READING
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State | PA
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Zip | 19608-9827
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Country | US
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Telephone | 610-743-3180
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED CONTACT
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Name | ALEX GYAN
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Credential |
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Telephone | 484-755-0690
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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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