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General NPI Number Information
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NPI Number | 1326248188
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Entity Type | Individual
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Provider Name | BRENDA SUE TREGO C.N.A
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Gender | Female
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 501 MARKET STREET, 2ND FLOOR GENERAL HEALTH CARE RESOURCES INC
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City | LEWISBURG
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State | PA
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Zip | 17837
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Country | US
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Telephone | 717-734-2044
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Fax |
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Provider Business Mailing Address
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Address Line | RR#1BOX 284E
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City | HONEY GROVE
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State | PA
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Zip | 17035
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Country | US
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Telephone | 717-734-2044
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 9309350
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License Number State | PA
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