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General NPI Number Information
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NPI Number | 1538341334
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Entity Type | Organization
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Legal Business Name | CAREGIVERS OF SOUTHWESTERN PA
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 143 HARTMAN RD OAKLEY PARK II SUITE 207-ROUTE 30 EAST
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City | GREENSBURG
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State | PA
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Zip | 15601-7220
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Country | US
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Telephone | 724-834-5774
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Fax | 724-834-5399
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Provider Business Mailing Address
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Address Line | 143 HARTMAN RD OAKLEY PARK II SUITE 207-ROUTE 30 EAST
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City | GREENSBURG
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State | PA
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Zip | 15601-7220
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Country | US
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Telephone | 724-834-5774
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Fax | 724-834-5399
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Authorized Official
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Title or Position | DIRECTOR
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Name | TAMMY PRIMUS
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Credential |
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Telephone | 724-834-5774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 401310
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License Number State | PA
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