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General NPI Number Information
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NPI Number | 1750105714
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Entity Type | Organization
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Legal Business Name | MY CHILD MY FRIEND
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 90 NORRISTOWN RD
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City | BLUE BELL
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State | PA
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Zip | 19422-2802
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Country | US
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Telephone | 215-858-7685
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Fax |
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Provider Business Mailing Address
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Address Line | 90 NORRISTOWN RD
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City | BLUE BELL
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State | PA
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Zip | 19422-2802
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Country | US
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Telephone | 215-858-7685
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLEN AMUDIPE
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Credential |
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Telephone | 215-858-7685
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 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 #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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