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General NPI Number Information
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NPI Number | 1457620494
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Entity Type | Organization
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Legal Business Name | QUALITY CARE 4 U HOME AGENCY
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 800 MICKLEY RUN
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City | WHITEHALL
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State | PA
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Zip | 18052-7997
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Country | US
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Telephone | 610-770-0601
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Fax | 610-910-3955
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Provider Business Mailing Address
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Address Line | 800 MICKLEY RUN
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City | WHITEHALL
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State | PA
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Zip | 18052-7997
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Country | US
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Telephone | 610-770-0601
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Fax | 610-910-3955
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAROLINE KAMAU
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Credential | RN
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Telephone | 610-770-0601
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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 | 13173601
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License Number State | PA
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