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General NPI Number Information
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NPI Number | 1386235273
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Entity Type | Organization
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Legal Business Name | LIGHTSMITH HOME CARE LLC
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 3012 JENNYLIND STREET
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City | MCKEESPORT
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State | PA
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Zip | 15132
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Country | US
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Telephone | 412-652-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 3012 JENNY LIND ST
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City | MCKEESPORT
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State | PA
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Zip | 15132-5141
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Country | US
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Telephone | 412-652-4738
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE SMITH
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Credential |
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Telephone | 412-652-4738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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