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General NPI Number Information
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NPI Number | 1528557949
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Entity Type | Organization
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Legal Business Name | BE WELL HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 4400 OLD WILLIAM PENN HWY STE 214
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City | MONROEVILLE
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State | PA
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Zip | 15146-1480
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Country | US
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Telephone | 412-573-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 OLD WILLIAM PENN HWY STE 214
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City | MONROEVILLE
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State | PA
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Zip | 15146-1480
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Country | US
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Telephone | 412-573-9355
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Fax | 412-535-8229
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIA FRAZIER
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Credential | RN
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Telephone | 412-573-9355
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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 | 07050501
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License Number State | PA
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