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General NPI Number Information
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NPI Number | 1740689637
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Entity Type | Individual
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Provider Name | PAMELA SCHANG PTA
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Gender | Female
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 234 CORAOPOLIS RD
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City | CORAOPOLIS
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State | PA
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Zip | 15108-4004
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Country | US
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Telephone | 412-331-6060
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Fax | 412-331-1228
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Provider Business Mailing Address
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Address Line | 234 CORAOPOLIS RD
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City | CORAOPOLIS
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State | PA
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Zip | 15108-4004
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Country | US
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Telephone | 412-331-6060
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Fax | 412-331-1228
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | TE1000836
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | TE1000836
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License Number State | PA
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