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General NPI Number Information
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NPI Number | 1174204986
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Entity Type | Organization
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Legal Business Name | PROFESSIONALS OF HOME HEALTH INC
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 2400 ANSYS DR STE 102
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City | CANONSBURG
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State | PA
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Zip | 15317-0403
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Country | US
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Telephone | 412-923-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 FLORIDA AVE
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City | BETHEL PARK
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State | PA
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Zip | 15102-3813
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Country | US
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Telephone | 412-923-9322
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LOIS WOODS
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Credential |
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Telephone | 412-923-9322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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