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General NPI Number Information
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NPI Number | 1740908680
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Entity Type | Organization
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Legal Business Name | GRISWOLD INTERNATIONAL CARE OF DELAWARE LLC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 525 W CHESTER PIKE STE 200
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City | HAVERTOWN
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State | PA
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Zip | 19083-4540
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Country | US
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Telephone | 215-437-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 510 TOWNSHIP LINE RD STE 210
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City | BLUE BELL
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State | PA
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Zip | 19422-2721
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Country | US
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Telephone | 215-437-0368
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Fax |
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Authorized Official
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Title or Position | BILLING ASSOCIATE
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Name | JOSEPH FONDOTS
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Credential |
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Telephone | 215-437-0368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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