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General NPI Number Information
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NPI Number | 1437809985
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Entity Type | Organization
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Legal Business Name | IMPAX SOLUTIONS INCORPORATED
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 3009 W FLETCHER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-3427
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Country | US
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Telephone | 856-956-6258
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13344
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City | PHILADELPHIA
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State | PA
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Zip | 19101-3344
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Country | US
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Telephone | 856-956-6258
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MISS SAESHA SAMPSON
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Credential | IT SUPPORT
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Telephone | 856-956-6258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 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 #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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