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General NPI Number Information
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NPI Number | 1164522371
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Entity Type | Organization
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Legal Business Name | OUTREACH CARE GROUP, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 304 EVANS DR
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1477
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Country | US
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Telephone | 724-752-1643
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Fax | 724-752-3405
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Provider Business Mailing Address
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Address Line | 724 PERSHING ST
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1474
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Country | US
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Telephone | 724-752-0081
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Fax | 724-752-0966
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HERBERT S SKUBA
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Credential |
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Telephone | 724-752-6748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP415150L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PP415150L
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License Number State | PA
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