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General NPI Number Information
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NPI Number | 1760832182
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Entity Type | Organization
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Legal Business Name | PHRQL, INC
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 6101 PENN AVE STE 301
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City | PITTSBURGH
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State | PA
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Zip | 15206-3926
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Country | US
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Telephone | 412-996-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 PENN AVE STE 301
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City | PITTSBURGH
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State | PA
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Zip | 15206-3926
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Country | US
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Telephone | 412-996-8400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | PAUL T SANDBERG
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Credential |
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Telephone | 412-996-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 132700000X
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Taxonomy Name | Dietary Manager
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License Number |
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License Number State |
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