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General NPI Number Information
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NPI Number | 1912510447
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Entity Type | Organization
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Legal Business Name | EMPOWER GRACE HOME CARE LLC
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 2117 N FRONT ST UNIT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19122-1704
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Country | US
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Telephone | 215-964-9340
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 N FRONT ST UNIT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19122-1704
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Country | US
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Telephone | 215-964-9340
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | MARIA RODRIGUEZ
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Credential |
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Telephone | 215-617-7942
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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 |
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License Number State |
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