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General NPI Number Information
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NPI Number | 1629597646
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Entity Type | Organization
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Legal Business Name | SAANVI GROUP OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 5000 W TILGHMAN ST STE 200
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City | ALLENTOWN
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State | PA
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Zip | 18104-9101
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Country | US
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Telephone | 610-266-3999
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Fax | 310-266-3399
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Provider Business Mailing Address
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Address Line | 5000 W TILGHMAN ST STE 200
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City | ALLENTOWN
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State | PA
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Zip | 18104-9101
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Country | US
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Telephone | 610-266-3999
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Fax | 310-266-3399
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | HARISHANTHAN NAGIREDDY
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Credential |
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Telephone | 317-652-1584
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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 | 04950501
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License Number State | PA
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