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General NPI Number Information
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NPI Number | 1427455914
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY AREA AGENCY ON AGING
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 186 MAIN ST
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City | BROOKVILLE
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State | PA
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Zip | 15851-0806
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Country | US
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Telephone | 814-849-3096
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Fax | 814-849-4655
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Provider Business Mailing Address
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Address Line | 186 MAIN ST
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City | BROOKVILLE
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State | PA
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Zip | 15825-0806
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Country | US
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Telephone | 814-849-3096
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Fax | 814-849-4655
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Authorized Official
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Title or Position | FISCAL ASSISTANT
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Name | MRS. TIFFANEE RENEE UPLINGER
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Credential |
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Telephone | 814-849-3096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | PA
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