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General NPI Number Information
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NPI Number | 1801453550
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Entity Type | Organization
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Legal Business Name | BEVERLEY'S HOME HEALTH CARE
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 1324 W CLEARFIELD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-2423
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Country | US
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Telephone | 215-596-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 491 BALTIMORE PIKE APT 630
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City | SPRINGFIELD
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State | PA
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Zip | 19064-3810
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Country | US
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Telephone | 215-596-5200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY BEVERLEY
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Credential |
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Telephone | 215-596-5200
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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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