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General NPI Number Information
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NPI Number | 1609310929
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Entity Type | Organization
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Legal Business Name | SCHHA, LLC
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 4055 FABER PLACE DR STE 200
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City | CHARLESTON
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State | SC
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Zip | 29405-8514
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Country | US
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Telephone | 843-576-5378
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Fax | 843-722-0440
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Provider Business Mailing Address
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Address Line | 4300 HADDONFIELD RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-3376
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Country | US
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Telephone | 973-909-5159
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ENRICO JOSEPH BALLEZZI
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Credential |
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Telephone | 609-575-3206
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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 | HHA-0324
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License Number State | SC
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