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General NPI Number Information
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NPI Number | 1164670998
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Entity Type | Individual
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Provider Name | JOYCE ANN MALLOY LPN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 23 CRAIGHEAD ST
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City | PITTSBURGH
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State | PA
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Zip | 15211-2103
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Country | US
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Telephone | 412-381-2998
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Fax | 412-381-1106
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Provider Business Mailing Address
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Address Line | 23 CRAIGHEAD ST
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City | PITTSBURGH
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State | PA
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Zip | 15211-2103
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Country | US
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Telephone | 412-381-2998
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Fax | 412-381-1106
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | PN264910
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License Number State | PA
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