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General NPI Number Information
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NPI Number | 1720784101
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Entity Type | Organization
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Legal Business Name | LUX LIVING REALTY GROUP
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1938 CREST DR
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City | COATESVILLE
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State | PA
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Zip | 19320-2574
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Country | US
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Telephone | 267-341-7074
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 W CHELTENHAM AVE STE 207
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City | ELKINS PARK
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State | PA
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Zip | 19027-3009
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Country | US
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Telephone | 215-767-4093
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CATRINA BOWSER
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Credential |
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Telephone | 267-341-7074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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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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