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General NPI Number Information
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NPI Number | 1306366968
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Entity Type | Organization
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Legal Business Name | P.A. LOSCH AND SONS, LLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 3366 EVENDALE HILL RD.
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City | RICHFIELD
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State | PA
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Zip | 17086
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Country | US
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Telephone | 717-320-2829
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Fax |
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Provider Business Mailing Address
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Address Line | 3366 EVENDALE HILL RD.
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City | RICHFIELD
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State | PA
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Zip | 17086
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Country | US
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Telephone | 717-320-2829
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. PUSEY A LOSCH
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Credential |
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Telephone | 717-320-2829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | PA054398
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License Number State | PA
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