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General NPI Number Information
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NPI Number | 1417940487
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF WESTERN PENNSYLVANIA INC
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 127 N BRADY ST SUITE B
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City | DU BOIS
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State | PA
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Zip | 15801-2257
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Country | US
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Telephone | 814-375-9615
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Fax | 814-375-1362
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Provider Business Mailing Address
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Address Line | 127 N BRADY ST
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City | DU BOIS
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State | PA
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Zip | 15801-2227
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Country | US
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Telephone | 814-375-9615
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Fax | 814-375-1362
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Authorized Official
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Title or Position | DIRECTOR/MANAGER
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Name | ALISHA M HEINDL
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Credential | RN
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Telephone | 814-375-9615
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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 |
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License Number State |
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