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NPI 1871632091

NPI 1871632091 : FIFTH COMMANDMENT CORP : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1871632091
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIFTH COMMANDMENT CORP 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3910 CAUGHEY RD STE 220
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16506-4096
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    Country              |    US
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    Telephone            |    814-464-9200
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    Fax                  |    814-464-9202
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Provider Business Mailing Address
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    Address Line         |    3910 CAUGHEY RD STE 220
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16506-4096
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    Country              |    US
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    Telephone            |    814-464-9200
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    Fax                  |    814-464-9202
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Authorized Official
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    Title or Position    |    OWNER, PRESIDENT
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    Name                 |    MRS. CAROLYN J MATTERS 
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    Credential           |    
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    Telephone            |    814-392-5019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    PA
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Taxonomy #3
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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 |    PA
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