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General NPI Number Information
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NPI Number | 1679908826
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Entity Type | Organization
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Legal Business Name | FAMILY TO FAMILY, LLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 900 WATER ST SUITE 19
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City | MEADVILLE
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State | PA
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Zip | 16335-3428
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Country | US
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Telephone | 814-807-0409
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Fax | 814-807-0439
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Provider Business Mailing Address
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Address Line | 900 WATER ST SUITE 19
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City | MEADVILLE
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State | PA
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Zip | 16335-3428
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Country | US
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Telephone | 814-807-0409
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Fax | 814-807-0439
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Authorized Official
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Title or Position | OWNER, ADMINISTRATOR
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Name | KIMBERLY D SIPPY
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Credential |
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Telephone | 814-807-0409
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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 | 24763601
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License Number State | PA
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