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General NPI Number Information
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NPI Number | 1669922381
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Entity Type | Organization
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Legal Business Name | DIGNITY HOME CARE PROFESSIONALS, LLC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 547 LINCOLN AVE OFFICE 1
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City | BELLEVUE
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State | PA
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Zip | 15202-3534
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Country | US
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Telephone | 412-513-5184
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Fax | 412-438-3892
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Provider Business Mailing Address
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Address Line | 547 LINCOLN AVE OFFICE 1
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City | BELLEVUE
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State | PA
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Zip | 15202-3534
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Country | US
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Telephone | 412-513-5184
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Fax | 412-438-3892
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | THOMAS FODI
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Credential |
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Telephone | 412-513-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 27203601
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License Number State | PA
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