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General NPI Number Information
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NPI Number | 1588856009
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Entity Type | Organization
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Legal Business Name | FRIENDS HOME IN KENNETT/LINDEN HALL
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 147 W STATE ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3022
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Country | US
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Telephone | 610-444-0741
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Fax | 610-444-4915
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Provider Business Mailing Address
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Address Line | 147 W STATE ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3022
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Country | US
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Telephone | 610-444-0741
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Fax | 610-444-4915
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | THERESA O'CONNELL
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Credential | NHA
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Telephone | 610-444-0741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 908002
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License Number State | PA
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