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General NPI Number Information
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NPI Number | 1689114597
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Entity Type | Organization
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Legal Business Name | CARE PROGRAM LLC
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 186 SANDSTONE RD
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City | BEDFORD
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State | PA
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Zip | 15522-3622
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Country | US
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Telephone | 814-494-4391
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Fax | 814-260-4116
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Provider Business Mailing Address
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Address Line | 186 SANDSTONE RD
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City | BEDFORD
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State | PA
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Zip | 15522-3622
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Country | US
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Telephone | 814-494-4391
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Fax | 814-260-4116
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. AMY LYNNE PRICE
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Credential | RN
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Telephone | 814-494-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN556677
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License Number State | PA
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