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General NPI Number Information
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NPI Number | 1821446618
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Entity Type | Organization
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Legal Business Name | STATCARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 5224 3RD ST
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City | WHITEHALL
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State | PA
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Zip | 18052-1810
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Country | US
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Telephone | 844-782-8300
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Fax | 844-782-8301
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Provider Business Mailing Address
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Address Line | 4421 MAIN ST
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City | WHITEHALL
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State | PA
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Zip | 18052-1505
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Country | US
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Telephone | 844-782-8300
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Fax | 844-782-8301
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Authorized Official
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Title or Position | CEO
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Name | KRISTELLE KUCHERA
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Credential |
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Telephone | 844-782-8300
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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 | 30543601
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License Number State | PA
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