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General NPI Number Information
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NPI Number | 1093769275
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Entity Type | Organization
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Legal Business Name | SACRED HEART HOSPITAL
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 2268 S 12TH ST FOURTH FLOOR
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City | ALLENTOWN
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State | PA
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Zip | 18103-5642
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Country | US
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Telephone | 610-871-2802
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Fax | 610-871-5919
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Provider Business Mailing Address
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Address Line | 2268 S 12TH ST FOURTH FLOOR
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City | ALLENTOWN
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State | PA
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Zip | 18103-5642
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Country | US
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Telephone | 610-871-2802
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Fax | 610-871-5919
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, VISITING NURSES
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Name | MRS. MARTHA H. MILLER
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Credential |
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Telephone | 610-871-2802
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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 | 771505
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License Number State | PA
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