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General NPI Number Information
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NPI Number | 1871940460
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Entity Type | Organization
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Legal Business Name | IN HOME PERSONAL CARE SERVICES INC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 3809 BIRNEY AVE
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City | MOOSIC
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State | PA
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Zip | 18507-1513
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Country | US
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Telephone | 570-341-6830
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Fax | 570-341-6831
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Provider Business Mailing Address
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Address Line | 3809 BIRNEY AVE
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City | MOOSIC
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State | PA
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Zip | 18507-1513
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Country | US
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Telephone | 570-341-6830
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Fax | 570-341-6831
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROBERT W BARCOLA
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Credential |
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Telephone | 570-341-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 13003601
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License Number State | PA
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