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NPI 1760117832

NPI 1760117832 : FINE HOME HEALTH CARE LLC : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1760117832
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    Entity Type          |    Organization 
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    Legal Business Name  |    FINE HOME HEALTH CARE LLC 
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Dates
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    Enumeration Date     |    07/21/2022
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    2330 E 38TH ST # 3 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16510-3725
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    Country              |    US
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    Telephone            |    814-218-4087
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2330 E 38TH ST # 3 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16510-3725
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    Country              |    US
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    Telephone            |    814-218-4087
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER / PRESIDENT
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    Name                 |    MR. KAMAL  CHHETRI 
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    Credential           |    
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    Telephone            |    814-218-4087
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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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