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General NPI Number Information
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NPI Number | 1689708570
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Entity Type | Organization
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Legal Business Name | MONONGAHELA VALLEY HOSPITAL INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1163 COUNTRY CLUB ROAD
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City | MONONGAHELA
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State | PA
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Zip | 15063-1095
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Country | US
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Telephone | 724-258-1000
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Fax | 724-258-1394
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Provider Business Mailing Address
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Address Line | 1163 COUNTRY CLUB ROAD
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City | MONONGAHELA
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State | PA
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Zip | 15063-1095
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Country | US
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Telephone | 724-258-1000
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Fax | 724-258-1394
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Authorized Official
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Title or Position | VP/CONTROLLER
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Name | MR. LAWRENCE J RUSNOCK
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Credential |
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Telephone | 724-258-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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