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General NPI Number Information
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NPI Number | 1417462409
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Entity Type | Organization
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Legal Business Name | BARBERRY RIDGE HOME HEALTH INC
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 800 PERRY HWY STE 4
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City | PITTSBURGH
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State | PA
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Zip | 15229-1116
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Country | US
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Telephone | 412-536-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 800 PERRY HWY STE 4
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City | PITTSBURGH
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State | PA
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Zip | 15229-1116
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Country | US
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Telephone | 412-536-1871
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | DUSTIN FRAWLEY
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Credential |
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Telephone | 412-477-5138
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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 | 35313601
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License Number State | PA
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