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General NPI Number Information
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NPI Number | 1427880624
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Entity Type | Individual
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Provider Name | JUANIKA EBERHARDT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 133 E WOODFORD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15210-4313
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Country | US
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Telephone | 724-236-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 LIBRARY RD STE 220
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City | BETHEL PARK
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State | PA
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Zip | 15102-6909
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Country | US
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Telephone | 724-236-4227
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 78653601
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License Number State | PA
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