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General NPI Number Information
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NPI Number | 1679190516
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Entity Type | Organization
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Legal Business Name | MICHELES ESTABLISHMENT, INC
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1253 # 3 CENTRE TURNPIKE
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City | ORWIGSBURG
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State | PA
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Zip | 17961-1796
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Country | US
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Telephone | 570-968-2165
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Fax | 570-968-2170
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Provider Business Mailing Address
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Address Line | 1253 CENTRE TPKE STE 3
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City | ORWIGSBURG
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State | PA
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Zip | 17961-9189
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Country | US
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Telephone | 570-968-2165
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Fax | 570-968-2170
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Authorized Official
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Title or Position | CEO
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Name | MICHELE'S KATZENMOYER
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Credential |
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Telephone | 610-698-5559
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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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