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General NPI Number Information
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NPI Number | 1669079588
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Entity Type | Organization
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Legal Business Name | UNIQUE HOME BASE CARE LLC
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Dates
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Enumeration Date | 10/04/2020
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Last Update Date | 10/04/2020
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Provider Practice Location Address
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Address Line | 1031 S 60TH ST UNIT C
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2342
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Country | US
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Telephone | 484-925-0062
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 ALLISON DR
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City | POTTSTOWN
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State | PA
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Zip | 19464-3151
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Country | US
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Telephone | 483-995-0939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA MATTHEWS
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Credential |
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Telephone | 484-995-0939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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