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General NPI Number Information
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NPI Number | 1538324652
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Entity Type | Organization
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Legal Business Name | PHYSICIAN'S HOUSE CALL SERVICES, PA
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 3419 52ND AVE W
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City | BRADENTON
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State | FL
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Zip | 34210-3253
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Country | US
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Telephone | 941-928-3127
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Fax | 941-755-4017
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Provider Business Mailing Address
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Address Line | 3419 52ND AVE W
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City | BRADENTON
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State | FL
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Zip | 34210-3253
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Country | US
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Telephone | 941-928-3127
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Fax | 941-755-4017
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. THERESA REICHENBACH
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Credential |
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Telephone | 941-870-2703
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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 | PA9102767
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9102767
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License Number State | FL
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