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General NPI Number Information
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NPI Number | 1962577379
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Entity Type | Organization
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Legal Business Name | HOME NURSING AGENCY COMMUNITY SERVICE
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 04/18/2015
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Provider Practice Location Address
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Address Line | 500 E CHESTNUT AVE NURSE FAMILY PARTNERSHIP
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City | ALTOONA
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State | PA
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Zip | 16601-5215
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Country | US
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Telephone | 814-942-1903
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Fax | 814-941-1634
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Provider Business Mailing Address
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Address Line | 201 CHESTNUT AVE NURSE FAMILY PARTNERSHIP
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City | ALTOONA
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State | PA
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Zip | 16601-4927
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Country | US
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Telephone | 814-946-5411
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Fax | 814-942-1673
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP L FREEMAN JR.
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Credential |
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Telephone | 814-946-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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