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General NPI Number Information
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NPI Number | 1083380661
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Entity Type | Organization
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Legal Business Name | GIANT EAGLE LONG TERM CARE, LLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6204 STATE ROUTE 30 STE A
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City | GREENSBURG
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State | PA
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Zip | 15601-6399
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Country | US
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Telephone | 724-836-6779
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Fax | 412-968-9359
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Provider Business Mailing Address
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Address Line | 700 CRANBERRY WOODS DR
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5213
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Country | US
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Telephone | 412-963-6200
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Fax |
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Authorized Official
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Title or Position | MANAGED CARE LICENSING AND CREDENTI
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Name | KELLY ANNE ZMARZLY
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Credential |
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Telephone | 412-968-1529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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