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NPI 1508801937

NPI 1508801937 : L&R HOMEMED INC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1508801937
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    Entity Type          |    Organization 
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    Legal Business Name  |    L&R HOMEMED INC 
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Dates
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    Enumeration Date     |    06/19/2006
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    Last Update Date     |    01/18/2012
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Provider Practice Location Address
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    Address Line         |    1916 WELSH RD SUITE 15
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19115-4655
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    Country              |    US
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    Telephone            |    215-969-2165
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    Fax                  |    215-969-2166
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Provider Business Mailing Address
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    Address Line         |    1916 WELSH RD SUITE 15
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19115-4655
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    Country              |    US
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    Telephone            |    215-969-2165
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    Fax                  |    215-969-2166
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. TSILYA  MENSH 
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    Credential           |    
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    Telephone            |    215-969-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    PA
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