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General NPI Number Information
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NPI Number | 1659792885
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Entity Type | Organization
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Legal Business Name | KEYSTONE HEALTH CARE SERVICES
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 1300 STONE RIDGE RD
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City | SINKING SPRING
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State | PA
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Zip | 19608-9538
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Country | US
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Telephone | 240-498-2661
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Fax | 301-220-0226
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Provider Business Mailing Address
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Address Line | 1300 STONE RIDGE RD
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City | SINKING SPRING
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State | PA
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Zip | 19608-9538
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Country | US
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Telephone | 240-498-2661
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Fax | 301-220-0226
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN CHOCOMANI NGENGWE
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Credential |
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Telephone | 240-498-2661
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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 | M231
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License Number State | PA
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