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General NPI Number Information
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NPI Number | 1841778610
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE HOSPICE OF WESTERN PENNSYLVANIA INC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 2202-2212 WEST 15TH ST
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City | ERIE
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State | PA
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Zip | 16505-4034
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Country | US
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Telephone | 814-836-0214
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Fax | 814-835-3947
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Provider Business Mailing Address
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Address Line | 285 KAPPA DR STE 270
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City | PITTSBURGH
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State | PA
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Zip | 15238-2814
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Country | US
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Telephone | 412-436-2200
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Fax | 412-436-2218
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Authorized Official
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Title or Position | CEO
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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