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General NPI Number Information
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NPI Number | 1396154951
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Entity Type | Organization
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Legal Business Name | OP HEALTHCARE
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 3747 MANGROVE DR
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City | NORTHAMPTON
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State | PA
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Zip | 18067-9683
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Country | US
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Telephone | 570-656-8332
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Fax | 610-241-4740
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Provider Business Mailing Address
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Address Line | 3747 MANGROVE DR
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City | NORTHAMPTON
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State | PA
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Zip | 18067-9683
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Country | US
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Telephone | 570-656-8332
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Fax | 610-241-4740
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Authorized Official
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Title or Position | CFO
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Name | LORNA ANN TALBOT
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Credential |
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Telephone | 570-656-8332
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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 | 05480501
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License Number State | PA
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