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General NPI Number Information
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NPI Number | 1578885752
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Entity Type | Organization
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Legal Business Name | JOST ENTERPRISES
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 4112 SPRINGHILL RD
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City | PORTAGE
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State | PA
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Zip | 15946-7402
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Country | US
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Telephone | 814-736-6000
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Fax | 814-736-4299
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Provider Business Mailing Address
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Address Line | 4112 SPRINGHILL RD
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City | PORTAGE
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State | PA
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Zip | 15946-7402
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Country | US
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Telephone | 814-736-6000
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Fax | 814-736-4299
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MR. STEVEN D PANICK
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Credential | R.N.
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Telephone | 814-736-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 09750201
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License Number State | PA
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