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General NPI Number Information
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NPI Number | 1225403439
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Entity Type | Organization
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Legal Business Name | FROM THE HEART LAUREL HIGHLANDS COMPANION SERVICES
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 408 WOOD DUCK DR
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City | GREENSBURG
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State | PA
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Zip | 15601-3125
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Country | US
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Telephone | 610-955-8986
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Fax | 724-590-5148
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Provider Business Mailing Address
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Address Line | 408 WOOD DUCK DR
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City | GREENSBURG
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State | PA
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Zip | 15601-3125
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Country | US
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Telephone | 610-955-8986
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Fax | 724-590-5148
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Authorized Official
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Title or Position | OWNER
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Name | JANIS DURICK
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Credential |
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Telephone | 610-955-8986
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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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