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General NPI Number Information
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NPI Number | 1447253265
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Entity Type | Organization
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Legal Business Name | CONEMAUGH HEALTH INITIATIVES
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1086 FRANKLIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-534-9794
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Fax | 814-534-3479
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Provider Business Mailing Address
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Address Line | 1086 FRANKLIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-535-8885
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Fax | 814-535-8720
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | ELAINE M LAMBERT
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Credential |
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Telephone | 814-533-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD015619E
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License Number State | PA
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