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General NPI Number Information
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NPI Number | 1437664737
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Entity Type | Organization
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Legal Business Name | EXCELLENCE HOME CARE LLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 122 DELAWARE STREET
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City | NEW CASTLE
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State | DE
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Zip | 19702
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Country | US
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Telephone | 302-327-0147
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Fax | 302-327-0185
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Provider Business Mailing Address
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Address Line | 122 DELAWARE ST
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City | NEW CASTLE
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State | DE
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Zip | 19720-4814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIENNE DAUTRUCHE
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Credential |
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Telephone | 856-625-9934
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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 | HHAS-63
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License Number State | DE
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