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General NPI Number Information
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NPI Number | 1487075016
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH SERVICES, EAST, LLC
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Dates
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Enumeration Date | 12/28/2013
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 1502 ROUTE 61 HWY S
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City | POTTSVILLE
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State | PA
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Zip | 17901-8409
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Country | US
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Telephone | 570-668-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 5035 CLAIRTON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15236-2103
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Country | US
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Telephone | 412-440-0126
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMY HANCOCK
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Credential |
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Telephone | 412-440-0126
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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 | 4222204
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License Number State | PA
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