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General NPI Number Information
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NPI Number | 1699550046
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Entity Type | Organization
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Legal Business Name | QUALITY CARE
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 3255 N FRONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5805
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Country | US
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Telephone | 215-470-2857
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Fax |
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Provider Business Mailing Address
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Address Line | 4037 MAYWOOD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-5331
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Country | US
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Telephone | 267-475-7383
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MARIBEL RODRIGUEZ
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Credential |
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Telephone | 267-475-7383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 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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