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General NPI Number Information
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NPI Number | 1457354672
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Entity Type | Organization
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Legal Business Name | DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 05/22/2017
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Provider Practice Location Address
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Address Line | 315 LOCUST ST FIRST FLOOR SUITE
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City | JOHNSTOWN
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State | PA
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Zip | 15901-1651
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Country | US
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Telephone | 814-534-7500
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Fax | 814-534-7501
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-4536
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTOR E. GIOVANETTI
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Credential |
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Telephone | 615-920-7000
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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 | 740605
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License Number State | PA
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