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General NPI Number Information
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NPI Number | 1720341563
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY COMFORT AT HOME, LLC
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 213 N BROAD ST SUITE 3
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City | LANSDALE
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State | PA
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Zip | 19446-2443
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Country | US
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Telephone | 215-631-9126
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Fax | 215-933-6999
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Provider Business Mailing Address
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Address Line | 213 N BROAD ST SUITE 3
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City | LANSDALE
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State | PA
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Zip | 19446-2443
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Country | US
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Telephone | 215-631-9126
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Fax | 215-933-6999
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANK ESTERLE
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Credential |
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Telephone | 215-631-9126
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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 | 12613601
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License Number State | PA
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