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General NPI Number Information
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NPI Number | 1407127012
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Entity Type | Organization
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Legal Business Name | PALLONE FAMILY HEALTHCARE
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 531 N MAIN ST
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2580
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Country | US
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Telephone | 814-249-7583
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Fax | 814-249-7584
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Provider Business Mailing Address
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Address Line | 531 N MAIN ST
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2580
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Country | US
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Telephone | 814-938-7933
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Fax | 814-938-7339
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Authorized Official
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Title or Position | BILLING AGENT
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Name | JANE HYSKELL
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Credential |
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Telephone | 814-952-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP009632
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License Number State | PA
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