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General NPI Number Information
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NPI Number | 1316063068
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL FACILITIES, INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | STAUNTON CLINIC INTENSIVE CASE MANAGEMENT 111 HAZEL LANE
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City | SEWICKLEY
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State | PA
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Zip | 15143-1253
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Country | US
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Telephone | 412-749-7330
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Fax |
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Provider Business Mailing Address
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Address Line | STAUNTON CLINIC INTENSIVE CASE MANAGEMENT 111 HAZEL LANE
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City | SEWICKLEY
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State | PA
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Zip | 15143-1253
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Country | US
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Telephone | 412-749-7330
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT CFO
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Name | MR. BRYAN J RANDALL
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Credential |
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Telephone | 412-749-7027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 940070
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License Number State | PA
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