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General NPI Number Information
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NPI Number | 1922324649
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Entity Type | Organization
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Legal Business Name | COMPANIONS FOR YOU, INC.
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 6124 W JEFFERSON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3902
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Country | US
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Telephone | 215-477-0878
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Fax | 215-477-1523
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Provider Business Mailing Address
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Address Line | 6124 W JEFFERSON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3902
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Country | US
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Telephone | 215-477-0878
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Fax | 215-477-1523
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLEE EVONNE SCOTT
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Credential | DIRECTOR
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Telephone | 215-477-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 13233601
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License Number State | PA
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