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General NPI Number Information
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NPI Number | 1497154553
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Entity Type | Organization
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Legal Business Name | FAMILY CARE HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 212 W 5TH ST
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City | BLOOMSBURG
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State | PA
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Zip | 17815-2107
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Country | US
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Telephone | 570-416-1471
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Fax |
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Provider Business Mailing Address
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Address Line | 212 W 5TH ST
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City | BLOOMSBURG
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State | PA
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Zip | 17815-2107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONALD KLINGER
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Credential |
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Telephone | 570-416-1471
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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 | PA
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