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General NPI Number Information
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NPI Number | 1194496679
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Entity Type | Individual
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Provider Name | ANITA L BRYANT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 1246 BLACKADORE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15221-1318
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Country | US
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Telephone | 412-507-6280
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Fax | 412-241-0328
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Provider Business Mailing Address
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Address Line | 1246 BLACKADORE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15221-1318
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Country | US
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Telephone | 412-507-6280
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Fax | 412-241-0328
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | PA
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