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General NPI Number Information
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NPI Number | 1972896363
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Entity Type | Organization
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Legal Business Name | 1 HEART HHC LLC
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 6611 FRANKFORD AVE STE 701
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City | PHILADELPHIA
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State | PA
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Zip | 19135-2508
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Country | US
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Telephone | 609-851-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 255 GLENDALE RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-4017
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Country | US
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Telephone | 484-238-0048
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADILA SLAUGHTER
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Credential | RN
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Telephone | 609-851-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 04390501
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License Number State | PA
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