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General NPI Number Information
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NPI Number | 1053362012
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Entity Type | Organization
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Legal Business Name | HEALTH PERSONNEL INC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 174 LINCOLN AVE
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City | BELLEVUE
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State | PA
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Zip | 15202
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Country | US
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Telephone | 412-761-9385
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Fax | 412-761-9493
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Provider Business Mailing Address
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Address Line | 174 LINCOLN AVE
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City | BELLEVUE
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State | PA
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Zip | 15202
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Country | US
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Telephone | 412-761-9385
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Fax | 412-761-9493
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PHYLLIS W FREDLAND
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Credential | RN C
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Telephone | 412-761-9385
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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 | 725905
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License Number State | PA
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