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General NPI Number Information
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NPI Number | 1841864519
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Entity Type | Organization
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Legal Business Name | A BEAUTIFUL CHOICE HOMECARE LLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 1605 E. ERIE AVE #413
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City | PHILADELPHIA
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State | PA
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Zip | 19124
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Country | US
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Telephone | 215-315-8503
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Fax | 215-315-8506
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Provider Business Mailing Address
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Address Line | 1605 E. ERIE AVE #413
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3331
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Country | US
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Telephone | 215-315-8503
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Fax | 215-315-8506
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOELIA DIAZ
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Credential |
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Telephone | 267-591-8377
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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 |
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License Number State |
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Taxonomy #2
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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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