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General NPI Number Information
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NPI Number | 1689933970
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Entity Type | Organization
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Legal Business Name | MULTICARE HOUSE CALL PHYSICIANS, INC.
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 05/08/2012
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Provider Practice Location Address
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Address Line | 8118 OLD YORK RD LOWER LEVEL
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City | ELKINS PARK
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State | PA
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Zip | 19027-1423
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Country | US
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Telephone | 215-331-0805
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Fax | 215-635-1026
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Provider Business Mailing Address
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Address Line | 8118 OLD YORK RD LOWER LEVEL
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City | ELKINS PARK
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State | PA
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Zip | 19027-1423
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Country | US
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Telephone | 215-331-0805
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Fax | 215-635-1026
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Authorized Official
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Title or Position | CO - ADMINISTRATOR
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Name | MR. LEONID SAFRO
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Credential |
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Telephone | 215-331-0805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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