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General NPI Number Information
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NPI Number | 1184828733
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Entity Type | Organization
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Legal Business Name | COVENANT HEALTHCARE GROUP INC.
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 BOWER HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15243-1388
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Country | US
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Telephone | 216-292-5706
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Fax |
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Provider Business Mailing Address
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Address Line | 26691 RICHMOND RD
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City | BEDFORD
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State | OH
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Zip | 44146-1447
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Country | US
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Telephone | 216-292-5706
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Fax |
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Authorized Official
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Title or Position | ITS VP
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Name | WILLIAM WEISBERG
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Credential |
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Telephone | 216-292-5706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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