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General NPI Number Information
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NPI Number | 1033516760
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Entity Type | Organization
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Legal Business Name | ELDEROPTIONS, INC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 2030 ARDMORE BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15221-4652
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Country | US
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Telephone | 412-271-3600
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Fax | 412-271-6919
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Provider Business Mailing Address
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Address Line | 2030 ARDMORE BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15221-4652
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Country | US
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Telephone | 412-271-3600
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Fax | 412-271-6919
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BEVERLY ANNE DISABATO
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Credential | MA
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Telephone | 412-271-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 063700
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License Number State | PA
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