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General NPI Number Information
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NPI Number | 1558208447
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Entity Type | Organization
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Legal Business Name | EMMAUS HOME INCORPORATED
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 2000 SPROUL RD STE 106
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City | BROOMALL
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State | PA
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Zip | 19008-3509
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Country | US
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Telephone | 484-490-5623
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Fax | 484-472-7314
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Provider Business Mailing Address
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Address Line | 2000 SPROUL RD STE 106
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City | BROOMALL
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State | PA
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Zip | 19008-3509
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Country | US
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Telephone | 484-490-5623
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Fax | 484-472-7314
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Authorized Official
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Title or Position | CFOO
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Name | KYLIE MORESCHI
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Credential |
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Telephone | 717-819-7918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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