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General NPI Number Information
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NPI Number | 1699392803
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Entity Type | Organization
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Legal Business Name | DUPOIN HOMECARE LLC
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Dates
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Enumeration Date | 07/03/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 607 SUNNYSIDE AVE STE 1
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City | EAST PITTSBURGH
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State | PA
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Zip | 15112-1139
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Country | US
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Telephone | 412-419-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 607 SUNNYSIDE AVE STE 1
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City | EAST PITTSBURGH
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State | PA
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Zip | 15112-1139
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Country | US
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Telephone | 412-419-1560
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Fax |
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Authorized Official
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Title or Position | CEO, ADMINISTRATOR
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Name | SHANE POINDEXTER
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Credential |
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Telephone | 412-660-3630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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