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General NPI Number Information
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NPI Number | 1912766874
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Entity Type | Organization
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Legal Business Name | REQUEST CONTRACTORS, LLC
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 109 SWEENEY RD
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-7040
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Country | US
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Telephone | 267-446-4209
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 CRITTENDEN ST APT H2
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3227
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Country | US
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Telephone | 267-446-4209
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRIS SULLIVAN
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Credential |
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Telephone | 267-446-4209
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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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