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General NPI Number Information
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NPI Number | 1003369653
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Entity Type | Organization
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Legal Business Name | VIRTUOUS MARIE LLC
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 322 N SHORE DR 200
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City | PITTSBURGH
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State | PA
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Zip | 15212-5870
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Country | US
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Telephone | 412-770-3162
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Fax | 412-770-3101
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Provider Business Mailing Address
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Address Line | 322 N SHORE DR 200
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City | PITTSBURGH
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State | PA
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Zip | 15212-5870
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Country | US
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Telephone | 412-770-3162
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Fax | 412-770-3101
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DELYNN HARRIS
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Credential |
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Telephone | 412-770-3162
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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 | 28523601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 28523601
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License Number State | PA
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