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General NPI Number Information
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NPI Number | 1699963736
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Entity Type | Organization
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Legal Business Name | FIRST HOME CARE CORPORATION
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 111 N 49TH ST 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19139-2718
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Country | US
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Telephone | 215-472-7291
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Fax | 215-472-7296
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Provider Business Mailing Address
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Address Line | 7170 LAFAYETTE AVE
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2301
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Country | US
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Telephone | 215-641-5300
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Fax | 615-653-7872
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Authorized Official
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Title or Position | CEO
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Name | MR. TROY BAILEY
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Credential |
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Telephone | 757-966-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 122010
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 122010
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 122010
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 122010
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License Number State | PA
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