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General NPI Number Information
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NPI Number | 1508864679
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Entity Type | Organization
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Legal Business Name | ALLEN LEAR HOME CARE ASSOCIATES INC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 748B MILFORD RD
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-1328
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Country | US
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Telephone | 570-426-7514
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Fax | 570-426-7516
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Provider Business Mailing Address
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Address Line | 748 B MILFORD RD
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-1328
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Country | US
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Telephone | 570-426-7514
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Fax | 570-426-7516
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BEVERLY C ALLEN
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Credential |
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Telephone | 570-426-7514
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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 | 77760501
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License Number State | PA
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