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General NPI Number Information
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NPI Number | 1174750210
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Entity Type | Organization
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Legal Business Name | BREATH OF HOPE LLC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 1001 PERRY HWY SUITE 7
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City | PITTSBURGH
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State | PA
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Zip | 15237-2143
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Country | US
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Telephone | 412-770-4064
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 PERRY HWY SUITE 7
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City | PITTSBURGH
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State | PA
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Zip | 15237-2143
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Country | US
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Telephone | 412-770-4064
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MS. ANN ALTMYER MAHLER
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Credential | MSW, LCSW
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Telephone | 412-770-4064
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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 | CW016610
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License Number State | PA
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