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NPI 1861638702

NPI 1861638702 : U.S. HEALTHCARE SERVICES, LLC : EAST STROUDSBURG, PA

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General NPI Number Information
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    NPI Number           |    1861638702
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    Entity Type          |    Organization 
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    Legal Business Name  |    U.S. HEALTHCARE SERVICES, LLC 
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Dates
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    Enumeration Date     |    12/24/2008
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    Last Update Date     |    02/23/2009
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Provider Practice Location Address
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    Address Line         |    337 ESCOLL DRIVE 
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    City                 |    EAST STROUDSBURG
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    State                |    PA
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    Zip                  |    18301
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    Country              |    US
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    Telephone            |    570-851-0738
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    294 BLUE MOUNTAIN LK 
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    City                 |    EAST STROUDSBURG
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    State                |    PA
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    Zip                  |    18301-7901
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    Country              |    US
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    Telephone            |    570-851-0738
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. ANU  GANDOTRA 
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    Credential           |    DPT
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    Telephone            |    570-851-0738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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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        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    PT019087
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    License Number State |    PA
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