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General NPI Number Information
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NPI Number | 1518478163
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Entity Type | Organization
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Legal Business Name | ORANGE CAREGIVERS
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Dates
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Enumeration Date | 10/22/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3296 BEAUFORT DR
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City | BETHLEHEM
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State | PA
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Zip | 18017-1954
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Country | US
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Telephone | 484-894-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 17 S COMMERCE WAY UNIT 21106
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City | LEHIGH VALLEY
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State | PA
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Zip | 18002-4045
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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 | COO
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Name | DR. BWEH ESEMBESON
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Credential |
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Telephone | 484-894-5221
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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 | 33003601
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License Number State | PA
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