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General NPI Number Information
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NPI Number | 1629243761
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Entity Type | Organization
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Legal Business Name | STEPHEN P. MIZNER FUNERAL HOME & CREMATION SERVICES, INC.
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 404 CHESTNUT ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2901
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Country | US
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Telephone | 814-724-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 404 CHESTNUT ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2901
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Country | US
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Telephone | 814-724-2345
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN P. MIZNER
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Credential |
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Telephone | 814-724-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176P00000X
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Taxonomy Name | Funeral Director
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License Number |
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License Number State |
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