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General NPI Number Information
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NPI Number | 1710171210
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Entity Type | Organization
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Legal Business Name | HEARTS OF LOVE HOME CARE INC
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 6853 RADBOURNE RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-5235
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Country | US
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Telephone | 610-394-2406
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Fax | 610-394-2453
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Provider Business Mailing Address
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Address Line | 6853 RADBOURNE RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-5235
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Country | US
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Telephone | 610-394-2406
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Fax | 610-394-2453
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Authorized Official
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Title or Position | DIRECTOR OF PROFESSIONAL SERVICES
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Name | DAVID OLADIMEJI ADENAIKE
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Credential | RN
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Telephone | 610-394-2406
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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 | 03210501
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 03210501
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License Number State | PA
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