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General NPI Number Information
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NPI Number | 1710354402
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Entity Type | Organization
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Legal Business Name | EMERALD SENIOR SERVICES D/B/A IN HOME HEALTH CARE FOR ELDERLY
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 532 N SPRING ST
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City | MIDDLETOWN
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State | PA
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Zip | 17057-1947
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Country | US
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Telephone | 717-944-4712
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Fax | 717-944-4527
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Provider Business Mailing Address
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Address Line | 532 N SPRING ST
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City | MIDDLETOWN
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State | PA
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Zip | 17057-1947
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Country | US
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Telephone | 717-944-4712
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Fax | 717-944-4527
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF SERVICES
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Name | MS. JESSICA KOLARIC
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Credential |
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Telephone | 717-944-4712
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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 | 15403601
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License Number State | PA
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