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General NPI Number Information
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NPI Number | 1528397015
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Entity Type | Organization
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Legal Business Name | NEALEN PERSONAL CARE, INC.
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1944 WILLIAM PENN AVE.
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City | JOHNSTOWN
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State | PA
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Zip | 15909-1637
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Country | US
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Telephone | 814-322-3401
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Fax | 814-322-3911
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Provider Business Mailing Address
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Address Line | 1944 WILLIAM PENN AVE.
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City | JOHNSTOWN
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State | PA
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Zip | 15909-1637
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Country | US
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Telephone | 814-322-3401
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Fax | 814-322-3911
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINA MARIE GROVE
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Credential | RN
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Telephone | 814-322-3401
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 101799340
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License Number State | PA
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