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General NPI Number Information
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NPI Number | 1891766242
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Entity Type | Organization
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Legal Business Name | RIDDLE MEMORIAL HOSPITAL - HB / HHA
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1068 W BALTIMORE PIKE
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City | MEDIA
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State | PA
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Zip | 19063-5104
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Country | US
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Telephone | 610-566-9400
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Fax | 610-891-3592
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Provider Business Mailing Address
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Address Line | 1068 W BALTIMORE PIKE
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City | MEDIA
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State | PA
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Zip | 19063-5104
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Country | US
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Telephone | 610-566-9400
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Fax | 610-891-3592
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Authorized Official
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Title or Position | VICE PRESIDENT / CFO
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Name | MR. RONALD W EYLER
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Credential |
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Telephone | 610-891-3368
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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 | 742505
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License Number State | PA
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