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General NPI Number Information
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NPI Number | 1538818679
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Entity Type | Organization
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Legal Business Name | PENN MEDICAL HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2515 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1150
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Country | US
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Telephone | 717-857-4371
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Fax | 717-210-5738
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Provider Business Mailing Address
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Address Line | PO BOX 6644
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City | HARRISBURG
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State | PA
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Zip | 17112-0644
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Country | US
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Telephone | 717-678-1320
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Fax | 717-210-5738
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MAHMOUD HASSAN
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Credential |
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Telephone | 717-678-1320
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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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