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General NPI Number Information
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NPI Number | 1912448796
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Entity Type | Organization
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Legal Business Name | PURE MELODY HOME CARE, LLC.
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 1272 PROVIDENCE RD 110
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City | SECANE
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State | PA
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Zip | 19018-2839
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Country | US
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Telephone | 610-705-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 1272 PROVIDENCE RD 110
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City | SECANE
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State | PA
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Zip | 19018-2839
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/ EXECUTIVE DIRECTOR
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Name | MS. KELLI KAMSON
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Credential |
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Telephone | 610-705-2335
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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 | 31873601
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License Number State | PA
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