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General NPI Number Information
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NPI Number | 1396748455
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Entity Type | Organization
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Legal Business Name | ALLEGHENY HOME HEALTH, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 1100 W HIGH ST SUITE 105
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City | EBENSBURG
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State | PA
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Zip | 15931-1706
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Country | US
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Telephone | 814-471-2877
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Fax | 814-471-2876
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Provider Business Mailing Address
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Address Line | 1100 W HIGH ST SUITE 105
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City | EBENSBURG
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State | PA
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Zip | 15931-1706
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Country | US
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Telephone | 814-471-2877
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Fax | 814-471-2876
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. STACY BRADLEY
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Credential |
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Telephone | 814-471-2877
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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 | 742705
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License Number State | PA
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