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General NPI Number Information
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NPI Number | 1588660906
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Entity Type | Organization
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Legal Business Name | VINCENTIAN DE MARILLAC
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 5300 STANTON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-2083
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Country | US
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Telephone | 412-361-2833
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Fax | 412-361-2833
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Provider Business Mailing Address
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Address Line | 8250 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-5825
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Country | US
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Telephone | 412-548-4073
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Fax | 412-348-0186
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Authorized Official
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Title or Position | FINANCE
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Name | MS. JESSICA KLINE
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Credential |
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Telephone | 412-548-4073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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