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General NPI Number Information
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NPI Number | 1467741900
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Entity Type | Organization
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Legal Business Name | KINDRED HEARTS, LLP
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 759 S 15TH ST APT #1-A
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2238
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Country | US
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Telephone | 215-847-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 759 S 15TH ST APT #1-A
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2238
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Country | US
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Telephone | 215-847-9120
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Fax |
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Authorized Official
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Title or Position | PARTNER/CO-CEO
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Name | MS. MIKALL POWELL
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Credential | MSW
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Telephone | 215-847-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 4009113
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License Number State | PA
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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 | 4009113
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License Number State | PA
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