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General NPI Number Information
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NPI Number | 1811312655
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF PITTSBURGH, INC
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 245 JEFFERSON AVE STE 1G
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City | MOUNDSVILLE
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State | WV
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Zip | 26041-1464
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Country | US
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Telephone | 304-843-1366
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Fax | 304-843-1399
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Provider Business Mailing Address
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Address Line | 1601 2ND ST
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City | MOUNDSVILLE
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State | WV
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Zip | 26041-1531
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Country | US
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Telephone | 304-843-1366
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Fax | 304-843-1399
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | THOMAS J DIMARCO
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Credential |
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Telephone | 614-436-9404
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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 | 517136
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License Number State | WV
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