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General NPI Number Information
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NPI Number | 1497140180
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH HOME CARE CORPORATION
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 2710 WEST TOWNSHIP LINE RD
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City | HAVERTOWN
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State | PA
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Zip | 19083
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Country | US
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Telephone | 610-853-1402
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Fax | 610-446-1701
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Provider Business Mailing Address
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Address Line | PO BOX 930
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City | HAVERTOWN
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State | PA
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Zip | 19083-0930
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Country | US
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Telephone | 610-853-1402
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Fax | 610-446-1701
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Authorized Official
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Title or Position | VICE PRESIDENT/DIR OF OPERATIONS
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Name | MRS. DIANE MARIE NESCI
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Credential |
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Telephone | 610-853-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 13643601
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License Number State | PA
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