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General NPI Number Information
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NPI Number | 1528510427
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Entity Type | Organization
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Legal Business Name | PROMISECARE
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 5216 WEBSTER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2627
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Country | US
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Telephone | 267-312-2986
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Fax |
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Provider Business Mailing Address
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Address Line | 5216 WEBSTER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2627
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Country | US
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Telephone | 267-312-2986
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE CEO
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Name | MS. KARLEH KOU WEHYE
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Credential | MSW, MS
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Telephone | 267-312-2986
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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 | 25100000
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License Number State | PA
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