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General NPI Number Information
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NPI Number | 1760277693
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Entity Type | Organization
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Legal Business Name | MAIN STREET HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 4347 W WYNDEMERE CIRCLE
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-3537
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Country | US
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Telephone | 610-657-4818
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Fax | 610-735-2184
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Provider Business Mailing Address
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Address Line | 4347 W WYNDEMERE CIRCLE
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-3537
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Country | US
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Telephone | 610-657-4818
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Fax | 610-735-2184
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROWENA SOLOMON
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Credential | PT
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Telephone | 610-657-4818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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