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General NPI Number Information
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NPI Number | 1144644576
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Entity Type | Organization
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Legal Business Name | MHA OF SOUTHWESTERN PA
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 409 COULTER AVE
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 724-834-6351
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Fax | 724-834-6352
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Provider Business Mailing Address
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Address Line | 409 COULTER AVE STE 4
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City | GREENSBURG
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State | PA
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Zip | 15601-5436
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Country | US
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Telephone | 724-834-6351
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HR/OPERATIONS
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Name | RON WEAVER
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Credential |
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Telephone | 724-834-6351
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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 |
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License Number State |
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