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General NPI Number Information
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NPI Number | 1306116280
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Entity Type | Organization
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Legal Business Name | GREATER PITTSBURGH ASSISTED LIVING SERVICES, INC.
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 2000 OXFORD DR SUITE 470
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City | BETHEL PARK
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State | PA
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Zip | 15102-1827
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Country | US
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Telephone | 412-595-7554
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Fax | 412-595-7881
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Provider Business Mailing Address
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Address Line | 2000 OXFORD DR SUITE 470
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City | BETHEL PARK
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State | PA
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Zip | 15102-1827
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Country | US
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Telephone | 412-595-7554
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Fax | 412-595-7881
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Authorized Official
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Title or Position | FRANCHISE OWNER/CEO
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Name | LUCILLE NOVELLY
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Credential | CSA
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Telephone | 412-595-7554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 15153601
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License Number State | PA
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