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General NPI Number Information
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NPI Number | 1508988536
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED CARE MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 ROESSLER RD SUITE 200-B
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City | PITTSBURGH
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State | PA
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Zip | 15220-1016
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Country | US
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Telephone | 724-584-5102
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Fax |
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Provider Business Mailing Address
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Address Line | 9515 GOEHRING RD
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-3713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JANE L. MELTZER
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Credential |
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Telephone | 724-584-5102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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