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General NPI Number Information
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NPI Number | 1326176546
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Entity Type | Organization
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Legal Business Name | TURTLE CREEK VALLEY MH MR INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 70 S 22ND ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-2143
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Country | US
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Telephone | 412-381-2100
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Fax | 412-381-2004
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Provider Business Mailing Address
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Address Line | 723 BRADDOCK AVE
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City | BRADDOCK
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State | PA
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Zip | 15104-1849
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Country | US
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Telephone | 412-351-0222
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Fax | 412-351-2616
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | FRAN SHEEDY BOST
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Credential | MED
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Telephone | 412-351-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 707082
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License Number State | PA
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