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General NPI Number Information
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NPI Number | 1730328733
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Entity Type | Organization
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Legal Business Name | IN HOME SPECAILTY CARE
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 719 KEENER WAY APT C6
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City | GREENSBURG
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State | PA
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Zip | 15601-4462
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Country | US
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Telephone | 724-834-2534
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Fax |
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Provider Business Mailing Address
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Address Line | 719 KEENER WAY APT C6
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City | GREENSBURG
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State | PA
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Zip | 15601-4462
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Country | US
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Telephone | 724-834-2534
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF COMPANY
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Name | MS. KELLY LOUSIE GRUBBS
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Credential |
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Telephone | 412-610-5392
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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 | 3854141
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License Number State | PA
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