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General NPI Number Information
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NPI Number | 1558655639
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Entity Type | Organization
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Legal Business Name | HOUSECALL MEDICAL GROUP INC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 450 JEANES ST
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3241
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Country | US
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Telephone | 215-322-8888
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Fax | 267-775-3345
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Provider Business Mailing Address
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Address Line | 450 JEANES ST
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3241
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Country | US
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Telephone | 215-322-8888
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Fax | 267-775-3345
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Authorized Official
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Title or Position | OWNER
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Name | MYRON RODOS
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Credential | DO
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Telephone | 215-322-8888
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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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