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General NPI Number Information
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NPI Number | 1710694500
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Entity Type | Organization
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Legal Business Name | MINCARELLI HOMECARE L.L.C.
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E STE L61
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City | CHERRY HILL
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State | NJ
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Zip | 08003-4201
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Country | US
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Telephone | 484-948-7141
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 MARLTON PIKE E STE L61
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City | CHERRY HILL
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State | NJ
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Zip | 08003-4201
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Country | US
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Telephone | 484-948-7141
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | MATTHEW MINCARELLI
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Credential |
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Telephone | 856-493-5548
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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