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General NPI Number Information
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NPI Number | 1477858223
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME CARE AGENCY
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 1723 WOODBOURNE RD SUITE B220
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City | LEVITTOWN
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State | PA
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Zip | 19057-1510
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Country | US
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Telephone | 215-543-7004
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Fax | 267-914-4549
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Provider Business Mailing Address
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Address Line | 3101 WOODHAVEN RD APT. N-4
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1743
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Country | US
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Telephone | 215-758-7136
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Fax | 267-914-4549
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Authorized Official
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Title or Position | CEO
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Name | MISS GORMAH PINKY KOLLEH
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Credential |
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Telephone | 215-758-7136
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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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