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General NPI Number Information
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NPI Number | 1528325149
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Entity Type | Organization
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Legal Business Name | EYEGUE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 444 WESTMONT DR
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City | COLLINGDALE
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State | PA
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Zip | 19023-1024
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Country | US
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Telephone | 267-997-5963
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Fax |
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Provider Business Mailing Address
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Address Line | 444 WESTMONT DR
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City | COLLINGDALE
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State | PA
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Zip | 19023-1024
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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 | FOUNDER/CEO
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Name | KATHERINE EYEGUE-SANDY
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Credential | MSN, RN, OCN, CRNP
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Telephone | 267-997-5963
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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 |
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