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General NPI Number Information
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NPI Number | 1538587902
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Entity Type | Organization
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Legal Business Name | ALL CARE REGISTRY, LLC
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 8864 FRANKSTOWN RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-1362
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Country | US
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Telephone | 412-576-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 8864 FRANKSTOWN RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-1362
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Country | US
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Telephone | 412-576-2897
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRANDON RICE
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Credential | BS DEGREE
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Telephone | 412-576-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | PA
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