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General NPI Number Information
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NPI Number | 1003280249
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Entity Type | Organization
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Legal Business Name | JAPAN MAPLE HEALTH
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Dates
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Enumeration Date | 11/27/2015
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Last Update Date | 11/27/2015
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Provider Practice Location Address
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Address Line | 207 W LIBERTY RD
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-5307
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Country | US
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Telephone | 724-602-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 207 W LIBERTY RD
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-5307
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Country | US
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Telephone | 724-602-8866
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Fax | 724-406-0024
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Authorized Official
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Title or Position | LPN
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Name | MR. DAVID CHARLES ALBERT
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Credential | LPN
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Telephone | 724-602-8866
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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 |
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License Number State |
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