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General NPI Number Information
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NPI Number | 1851163687
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Entity Type | Individual
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Provider Name | MS. LATTIA CHILDS
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Gender | Female
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 12/17/2023
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Provider Practice Location Address
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Address Line | 4400 OLD WILLIAM PENN HWY STE 100F
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City | MONROEVILLE
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State | PA
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Zip | 15146-1480
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Country | US
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Telephone | 412-412-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 612 SUNNYSIDE AVE
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City | EAST PITTSBURGH
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State | PA
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Zip | 15112-1140
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Country | US
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Telephone | 412-448-3100
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Fax |
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 74823601
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License Number State | PA
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