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General NPI Number Information
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NPI Number | 1942599774
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Entity Type | Organization
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Legal Business Name | UNICARE FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 6521 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-2816
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Country | US
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Telephone | 267-292-2647
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Fax | 267-292-2657
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Provider Business Mailing Address
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Address Line | 6521 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-2816
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Country | US
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Telephone | 267-292-2647
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Fax | 267-292-2657
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Authorized Official
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Title or Position | EXE. DIRECTOR
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Name | MR. MOSES EMMANUEL ANYAEGBU
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Credential | MSW
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Telephone | 267-292-2647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 1023400690010
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1023400690010
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 1023400690010
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License Number State | PA
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