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General NPI Number Information
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NPI Number | 1366448268
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Entity Type | Organization
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Legal Business Name | COLUMBIA MONTOUR HOME HEALTH SERVICES VNA, INC.
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 410 GLENN AVE SUITE 200
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1200
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Country | US
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Telephone | 570-784-1723
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Fax | 570-784-8512
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Provider Business Mailing Address
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Address Line | 410 GLENN AVE SUITE 200
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1200
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Country | US
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Telephone | 570-784-1723
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Fax | 570-784-8512
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Authorized Official
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Title or Position | CEO
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Name | MRS. JANE GITTLER
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Credential | RN
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Telephone | 570-784-1723
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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 | 708605
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License Number State | PA
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