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General NPI Number Information
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NPI Number | 1689030892
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Entity Type | Organization
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Legal Business Name | NSR HEALTHCARE LLC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 1315 WALNUT ST STE 320
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4701
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Country | US
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Telephone | 188-855-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 WALNUT ST STE 320
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4701
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Country | US
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Telephone | 188-855-6965
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS RISSA MIRANTI ASNAN
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Credential | CSCM
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Telephone | 302-981-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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