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General NPI Number Information
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NPI Number | 1548001167
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Entity Type | Organization
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Legal Business Name | HOPE ZION HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 5000 STONEWOOD DR STE 210
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City | WEXFORD
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State | PA
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Zip | 15090-8395
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Country | US
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Telephone | 412-912-1100
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Fax | 412-912-1152
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Provider Business Mailing Address
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Address Line | 5000 STONEWOOD DR STE 210
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City | WEXFORD
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State | PA
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Zip | 15090-8395
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Country | US
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Telephone | 937-613-6239
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDEM AVOTRI
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Credential | PHD
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Telephone | 937-613-6239
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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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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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