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General NPI Number Information
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NPI Number | 1629709670
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Entity Type | Organization
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Legal Business Name | SENIOR BRIDGE CARING HOME AGENCY LLC
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 2353 N 18TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-4316
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Country | US
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Telephone | 610-660-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BALA PLZ STE 300
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1512
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Country | US
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Telephone | 610-660-7756
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/FINANCIAL MANAGER
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Name | BRIDGETTE ANTOINETTE CHAMBERS
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Credential |
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Telephone | 610-660-7756
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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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