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General NPI Number Information
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NPI Number | 1255578753
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Entity Type | Organization
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Legal Business Name | U.S. HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 337 ESCOLL DRIVE
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301
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Country | US
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Telephone | 732-804-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 294 BLUE MOUNTAIN LK
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7901
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Country | US
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Telephone | 732-804-8028
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANU GANDOTRA
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Credential | DPT
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Telephone | 732-804-8028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | PT019087
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License Number State | PA
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