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General NPI Number Information
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NPI Number | 1477935955
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Entity Type | Organization
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Legal Business Name | FIRELY HOME FOR KIDS
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 364 MAPLE AVE
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2212
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Country | US
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Telephone | 215-513-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 364 MAPLE AVE
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2212
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Country | US
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Telephone | 215-513-7455
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN M FIRELY
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Credential |
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Telephone | 215-513-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 135560
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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