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General NPI Number Information
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NPI Number | 1912716689
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Entity Type | Organization
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Legal Business Name | A EXCELLENT HOMECARE SERVICES
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 512 MEADOW DR
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City | SHIPPENSBURG
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State | PA
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Zip | 17257-8981
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Country | US
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Telephone | 223-523-1876
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 DEERFIELD CMNS
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City | SHIPPENSBURG
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State | PA
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Zip | 17257-8541
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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 | ADMINSTRATOR
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Name | DIONNE BARRON
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Credential |
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Telephone | 223-523-1876
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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 |
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License Number State |
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