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General NPI Number Information
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NPI Number | 1437420841
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Entity Type | Organization
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Legal Business Name | LUNG & WELLNESS CENTERS OF WESTERN PENNSYLVANIA INC
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 1830 UNION AVE STE A
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City | NATRONA HEIGHTS
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State | PA
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Zip | 15065-2201
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Country | US
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Telephone | 724-904-7794
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Fax | 724-904-7776
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Provider Business Mailing Address
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Address Line | 200 RENAISSANCE DR STE 103
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City | BUTLER
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State | PA
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Zip | 16001-7612
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Country | US
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Telephone | 724-256-9606
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Fax | 724-256-9609
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Authorized Official
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Title or Position | PRESIDENT
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Name | KELLI THOMPSON
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Credential | RRT
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Telephone | 724-504-9305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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