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General NPI Number Information
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NPI Number | 1699304576
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Entity Type | Organization
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Legal Business Name | CABARET FROM THE START HOME CARE
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 2 RYERS AVE STE F
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City | CHELTENHAM
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State | PA
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Zip | 19012-2200
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Country | US
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Telephone | 215-436-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 ARLINE AVE
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City | ABINGTON
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State | PA
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Zip | 19001-1521
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Country | US
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Telephone | 215-858-1113
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AKIRA COLES
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Credential |
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Telephone | 215-858-1113
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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 |
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License Number State |
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