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General NPI Number Information
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NPI Number | 1487773875
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 503 S MAIN ST
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City | PITTSBURGH
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State | PA
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Zip | 15215-2138
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Country | US
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Telephone | 412-784-8888
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Fax | 412-784-8898
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Provider Business Mailing Address
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Address Line | 503 S MAIN ST
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City | PITTSBURGH
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State | PA
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Zip | 15215-2138
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Country | US
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Telephone | 412-784-8888
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Fax | 412-784-8898
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LISA I. RICCI
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Credential | R.N.
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Telephone | 412-784-8888
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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 | 010305
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 760105
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License Number State | PA
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