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General NPI Number Information
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NPI Number | 1942928841
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Entity Type | Organization
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Legal Business Name | SINN-FULLY DELICIOUS CATERNIG & ENT.
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 4500 WORTH ST STE C001
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3463
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Country | US
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Telephone | 215-960-7908
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Fax |
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Provider Business Mailing Address
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Address Line | 4939 ROYAL ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-6050
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Country | US
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Telephone | 267-333-2686
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | MR. CRAIG J HOWARD II
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Credential |
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Telephone | 267-333-2686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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