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General NPI Number Information
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NPI Number | 1962950261
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Entity Type | Organization
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Legal Business Name | ANASTASIA CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 200 BARR HARBOR DR SUITE 400
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2977
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Country | US
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Telephone | 484-862-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 938 VALLEY RD
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City | BLUE BELL
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State | PA
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Zip | 19422-1922
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Country | US
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Telephone | 484-862-5270
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Fax |
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Authorized Official
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Title or Position | MR
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Name | BABATUNMISHE OKE
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Credential |
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Telephone | 484-862-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 31343601
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License Number State | PA
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