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General NPI Number Information
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NPI Number | 1811214299
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Entity Type | Organization
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Legal Business Name | FOR KEEP SAKE, LLC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 130 KULP RD
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-1820
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Country | US
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Telephone | 215-256-4003
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Fax | 215-256-4077
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Provider Business Mailing Address
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Address Line | 130 KULP RD
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-1820
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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 | ATTORNEY-AT-LAW
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Name | MR. CHRISTOPHER P FIORE
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Credential |
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Telephone | 215-256-0205
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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 | 3943501
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License Number State | PA
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