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General NPI Number Information
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NPI Number | 1508861097
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Entity Type | Organization
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Legal Business Name | NEW LIFE HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 2655 PHILMONT AVE STE 101
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5314
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Country | US
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Telephone | 215-947-8220
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Fax | 215-938-1211
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Provider Business Mailing Address
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Address Line | 2655 PHILMONT AVE STE 101
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5314
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Country | US
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Telephone | 215-947-8220
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Fax | 215-938-1211
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Authorized Official
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Title or Position | C.F.O.
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Name | MR. BORIS APEL
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Credential |
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Telephone | 215-947-8220
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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 | 02150501
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License Number State | PA
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