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General NPI Number Information
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NPI Number | 1902311590
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Entity Type | Organization
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Legal Business Name | PROSPECT CROZER HOME HEALTH AND HOSPICE, LLC
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 100 W SPROUL RD
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2033
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Country | US
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Telephone | 610-328-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W SPROUL RD STE 223
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2033
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Country | US
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Telephone | 610-284-0700
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Fax | 610-284-2451
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MR. ROBERT J. ELDERS
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Credential | ESQ.
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Telephone | 714-788-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 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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