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General NPI Number Information
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NPI Number | 1538603584
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Entity Type | Organization
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Legal Business Name | ATLANTES LLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 380 RED LION RD STE 101
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6451
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Country | US
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Telephone | 215-485-0619
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Fax | 215-964-9770
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Provider Business Mailing Address
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Address Line | 329 E GIRARD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3930
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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 | PRESIDENT
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Name | RITA PRYDYBAILO
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Credential |
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Telephone | 215-485-0619
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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 | 30913601
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License Number State | PA
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