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General NPI Number Information
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NPI Number | 1952045023
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Entity Type | Organization
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Legal Business Name | THE BACK OFFICE AGENCY CORPORATION
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 1017 OAK LANE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-3339
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Country | US
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Telephone | 917-723-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 1017 OAK LANE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-3339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CANDICE LANGLEY
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Credential |
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Telephone | 917-723-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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