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General NPI Number Information
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NPI Number | 1912983974
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Entity Type | Organization
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Legal Business Name | TOWER HEALTH AT HOME - POTTSTOWN
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 1963 E HIGH ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-3209
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Country | US
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Telephone | 610-327-5700
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Fax | 610-327-5701
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Provider Business Mailing Address
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Address Line | 1170 BERKSHIRE BLVD
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City | WYOMISSING
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State | PA
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Zip | 19610-1215
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Country | US
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Telephone | 610-378-0481
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Fax | 610-378-9762
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Authorized Official
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Title or Position | INTERIM CEO
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Name | LYNANN LOUISE DECUSATIS
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Credential | MS CCC SLP
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Telephone | 610-378-0481
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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 | 700805
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License Number State | PA
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