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General NPI Number Information
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NPI Number | 1568422491
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Entity Type | Organization
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Legal Business Name | THE LYMPHEDEMA CONNECTION
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 8400 PERRY HWY SUITE 204
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City | PITTSBURGH
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State | PA
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Zip | 15237-5235
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Country | US
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Telephone | 412-364-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 PERRY HWY SUITE 204
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City | PITTSBURGH
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State | PA
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Zip | 15237-5235
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Country | US
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Telephone | 412-364-3720
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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. KATHLEEN MARIE CUTLER
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Credential | RN, BSN
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Telephone | 412-364-3720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6000005680
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License Number State | PA
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