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General NPI Number Information
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NPI Number | 1598838328
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Entity Type | Organization
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Legal Business Name | PRO CARE HEALTH SYSTEMS INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 E. PLANK RD
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City | ALTOONA
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State | PA
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Zip | 16602-4154
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Country | US
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Telephone | 814-941-7708
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Fax | 814-941-7715
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Provider Business Mailing Address
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Address Line | 300 E PLANK RD
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City | ALTOONA
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State | PA
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Zip | 16602-4154
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Country | US
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Telephone | 814-941-7708
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Fax | 814-941-7715
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Authorized Official
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Title or Position | COO
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Name | KEVIN M NAUGLE
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Credential | PT
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Telephone | 814-941-7708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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