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General NPI Number Information
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NPI Number | 1740737055
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Entity Type | Organization
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Legal Business Name | MOTHER CARE INC
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 708 E SHARPNACK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1535
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Country | US
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Telephone | 215-528-2927
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Fax | 267-766-2992
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Provider Business Mailing Address
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Address Line | 708 EAST SHARPNACK
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City | PHILADELPHIA
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State | PA
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Zip | 19038-0828
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Country | US
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Telephone | 215-528-2927
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Fax | 267-766-2992
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHERRY GREEN
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Credential |
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Telephone | 215-528-2927
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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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