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General NPI Number Information
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NPI Number | 1851877914
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Entity Type | Organization
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Legal Business Name | MCBAHN LLC
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 505 YORK RD STE 116
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City | JENKINTOWN
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State | PA
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Zip | 19046-2136
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Country | US
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Telephone | 267-744-4173
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Fax |
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Provider Business Mailing Address
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Address Line | 505 YORK RD STE 116
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City | JENKINTOWN
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State | PA
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Zip | 19046-2136
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Country | US
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Telephone | 267-744-4173
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MATHEW ABRAHAM
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Credential |
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Telephone | 267-744-4173
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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 | 21023601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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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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