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General NPI Number Information
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NPI Number | 1538236971
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Entity Type | Organization
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Legal Business Name | ST MARTHA MANOR
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 470 MANOR AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2545
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Country | US
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Telephone | 610-873-8490
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Fax | 215-368-5254
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Provider Business Mailing Address
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Address Line | 470 MANOR AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2545
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Country | US
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Telephone | 610-873-8490
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Fax | 215-368-5254
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MICHAEL CZEKNER
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Credential |
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Telephone | 215-368-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 457402
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License Number State | PA
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