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General NPI Number Information
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NPI Number | 1083617674
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Entity Type | Organization
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Legal Business Name | CONEMAUGH HEALTH INITIATIVES
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 320 MAIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15901-1601
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Country | US
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Telephone | 814-534-1095
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Fax | 814-534-1431
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Provider Business Mailing Address
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Address Line | 1086 FRANKLIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-410-8300
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Fax | 814-410-8331
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ELAINE M LAMBERT
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Credential |
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Telephone | 814-534-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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