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General NPI Number Information
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NPI Number | 1699930735
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Entity Type | Organization
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Legal Business Name | PA ASSOCIATION FOR THE BLIND ,WESTMORELAND BRANCH
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 911 S MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-4140
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Country | US
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Telephone | 724-837-1250
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Fax |
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Provider Business Mailing Address
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Address Line | 911 S MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-4140
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Country | US
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Telephone | 724-837-1250
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS
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Name | MR. TIMOTHY PAUL MILLER
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Credential |
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Telephone | 724-837-1250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 475410
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License Number State | PA
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