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General NPI Number Information
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NPI Number | 1013635283
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Entity Type | Organization
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Legal Business Name | OMNI HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 1246 WEST TILGHMAN STREET
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City | ALLENTOWN
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State | PA
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Zip | 18102
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Country | US
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Telephone | 484-221-8296
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 454
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-0454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | HEATHER DOMBROWSKI
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Credential |
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Telephone | 267-878-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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