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General NPI Number Information
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NPI Number | 1770966749
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Entity Type | Organization
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Legal Business Name | BANK HOME CARE SERVICES
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 230 FAIRHILL ST
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City | WILLOW GROVE
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State | PA
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Zip | 19090-2647
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Country | US
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Telephone | 215-830-0100
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Fax | 215-830-0105
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Provider Business Mailing Address
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Address Line | 230 FAIRHILL ST
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City | WILLOW GROVE
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State | PA
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Zip | 19090-2647
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Country | US
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Telephone | 215-830-0100
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Fax | 215-830-0105
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Authorized Official
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Title or Position | OWNER
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Name | AZANI MONTGOMERY BANK
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Credential |
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Telephone | 215-830-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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