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General NPI Number Information
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NPI Number | 1922018829
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Entity Type | Organization
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Legal Business Name | AT HOME HEALTH INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 461 N 3RD ST 5TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4111
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Country | US
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Telephone | 215-940-2980
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Fax | 215-940-8264
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Provider Business Mailing Address
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Address Line | 461 N 3RD ST 5TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4111
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Country | US
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Telephone | 215-940-2980
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Fax | 215-940-8264
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MRS. C. SHELBY DURHAM
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Credential |
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Telephone | 215-940-2980
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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 | PA
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