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General NPI Number Information
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NPI Number | 1366900458
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Entity Type | Organization
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Legal Business Name | DUBOIS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 250 W MAIN ST
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City | RIDGWAY
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State | PA
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Zip | 15853-1611
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Country | US
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Telephone | 814-371-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4 RAILROAD ST
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City | SAINT MARYS
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State | PA
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Zip | 15857-1798
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Country | US
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Telephone | 814-834-7915
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Fax | 814-834-6510
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOURDAN STRISHOCK
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Credential |
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Telephone | 814-375-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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