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General NPI Number Information
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NPI Number | 1598397580
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Entity Type | Organization
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Legal Business Name | VALLEY MED HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 2200 HAMILTON ST STE 310
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City | ALLENTOWN
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State | PA
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Zip | 18104-6359
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Country | US
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Telephone | 484-656-7176
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Fax | 484-656-7177
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Provider Business Mailing Address
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Address Line | 2200 HAMILTON ST STE 310
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City | ALLENTOWN
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State | PA
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Zip | 18104-6359
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Country | US
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Telephone | 484-656-7176
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Fax | 484-656-7177
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELLE WAGNER
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Credential | RN
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Telephone | 484-656-7176
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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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