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General NPI Number Information
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NPI Number | 1598787590
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Entity Type | Organization
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Legal Business Name | UPMC MUNCY
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 215 E WATER ST
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City | MUNCY
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State | PA
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Zip | 17756-8828
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Country | US
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Telephone | 570-546-4040
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Fax | 570-326-8601
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Provider Business Mailing Address
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Address Line | 600 GRANT STREET US STEEL TOWER 59TH FLOOR, C/O RENEE JOHNSON
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City | PITTSBURGH
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State | PA
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Zip | 15219-2740
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Country | US
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Telephone | 412-623-6303
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Fax | 412-623-6369
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Authorized Official
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Title or Position | CFO
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Name | ROGER C. YOST
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Credential |
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Telephone | 570-321-3175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 134302
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 134302
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License Number State | PA
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