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General NPI Number Information
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NPI Number | 1043369432
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Entity Type | Organization
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Legal Business Name | GUARDIAN ELDER CARE AT WHEELING LLC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 20 HOMESTEAD AVENUE
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City | WHEELING
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State | WV
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Zip | 26003-6638
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Country | US
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Telephone | 304-234-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 8796 ROUTE 219
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City | BROCKWAY
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State | PA
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Zip | 15824-6010
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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 | CFO
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Name | ARMANDO FORTUNATO
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Credential |
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Telephone | 814-265-1164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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