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General NPI Number Information
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NPI Number | 1346255296
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Entity Type | Organization
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Legal Business Name | COMMUNITY NURSING AND HOME HEALTH, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 2447 BEDFORD ST SUITE101
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City | JOHNSTOWN
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State | PA
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Zip | 15904-1405
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Country | US
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Telephone | 814-534-4450
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Fax | 814-534-4455
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Provider Business Mailing Address
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Address Line | 2447 BEDFORD ST SUITE101
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City | JOHNSTOWN
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State | PA
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Zip | 15904-1405
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Country | US
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Telephone | 814-534-4450
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Fax | 814-534-4455
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | THELMA DIBBLE
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Credential | R.N., B.S.N.
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Telephone | 814-534-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 02650501
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License Number State | PA
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