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General NPI Number Information
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NPI Number | 1609486182
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Entity Type | Organization
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Legal Business Name | AAADVANTAGE SERVICE COORDINATION LLC
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Dates
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Enumeration Date | 08/09/2020
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Last Update Date | 08/09/2020
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Provider Practice Location Address
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Address Line | 322 N SHORE DR STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15212-5875
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Country | US
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Telephone | 724-732-3828
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 KEEPORT DR APT 4
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City | PITTSBURGH
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State | PA
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Zip | 15236-3047
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Country | US
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Telephone | 724-732-3828
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Fax |
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | JENNIFER M GORDON
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Credential |
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Telephone | 724-732-3828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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