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General NPI Number Information
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NPI Number | 1619498813
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Entity Type | Organization
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Legal Business Name | FOX CHASE HOME CARE, INC.
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7770 DUNGAN RD STE 1
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2700
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Country | US
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Telephone | 267-538-4650
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Fax | 267-538-4621
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Provider Business Mailing Address
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Address Line | 7770 DUGAN ROAD UNIT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19111
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Country | US
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Telephone | 267-538-4650
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Fax | 267-538-4621
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Authorized Official
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Title or Position | OWNER
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Name | IGOR GALIBOV
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Credential |
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Telephone | 267-969-2425
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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 | 2278H0200X
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License Number State | PA
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