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General NPI Number Information
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NPI Number | 1508078247
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Entity Type | Organization
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Legal Business Name | TRY-AGAIN HOMES, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 365 JEFFERSON AVE
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City | WASHINGTON
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State | PA
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Zip | 15301-4245
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Country | US
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Telephone | 724-225-0510
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1228
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City | WASHINGTON
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State | PA
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Zip | 15301-7228
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Country | US
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Telephone | 724-225-0510
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LEONARD HILLIARD
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Credential |
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Telephone | 724-225-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 07CPP007
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License Number State | WV
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