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General NPI Number Information
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NPI Number | 1669749339
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Entity Type | Organization
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Legal Business Name | BLUE MOUNTAIN HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 11/25/2011
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 1851 W END AVE SUITE A
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City | POTTSVILLE
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State | PA
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Zip | 17901-2050
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Country | US
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Telephone | 570-622-4444
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Fax | 570-622-4465
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Provider Business Mailing Address
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Address Line | 1851 W END AVE SUITE A
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City | POTTSVILLE
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State | PA
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Zip | 17901-2050
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Country | US
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Telephone | 570-622-4444
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Fax | 570-622-4465
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ZARAR M. BAJWA
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Credential | MD
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Telephone | 570-622-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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