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General NPI Number Information
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NPI Number | 1104960277
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Entity Type | Organization
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Legal Business Name | TURTLE CREEK VALLEY MH MR INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 1705 MAPLE ST ALSO USES 201 E 18TH AVE
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City | HOMESTEAD
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State | PA
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Zip | 15120-1800
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Country | US
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Telephone | 412-461-4100
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Fax | 412-461-7096
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Provider Business Mailing Address
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Address Line | 723 BRADDOCK AVE
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City | BRADDOCK
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State | PA
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Zip | 15104-1849
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Country | US
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Telephone | 412-351-0222
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Fax | 412-351-2616
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | FRAN SHEEDY BOST
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Credential | MED
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Telephone | 412-351-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 422510
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 422510
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 422510
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License Number State | PA
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