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General NPI Number Information
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NPI Number | 1093980021
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Entity Type | Organization
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Legal Business Name | HEALTHCARE SERVICES INTERNATIONAL
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 3950 BRODHEAD RD SUITE 210
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City | MONACA
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State | PA
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Zip | 15061-3030
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Country | US
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Telephone | 724-775-8671
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Fax | 724-728-9817
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Provider Business Mailing Address
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Address Line | 3950 BRODHEAD RD SUITE 210
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City | MONACA
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State | PA
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Zip | 15061-3030
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Country | US
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Telephone | 724-775-8671
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Fax | 724-728-9817
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DOMENIC BOLOGNA
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Credential |
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Telephone | 724-775-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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