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General NPI Number Information
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NPI Number | 1750725529
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Entity Type | Organization
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Legal Business Name | SURREY SERVICES FOR SENIORS
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 28 BRIDGE AVE
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City | BERWYN
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State | PA
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Zip | 19312-1716
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Country | US
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Telephone | 610-647-6404
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Fax |
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Provider Business Mailing Address
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Address Line | 28 BRIDGE AVE
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City | BERWYN
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State | PA
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Zip | 19312-1716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | BARBARA FENTRESS
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Credential |
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Telephone | 610-647-6404
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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 | 4860501
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 12563601
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License Number State | PA
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