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General NPI Number Information
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NPI Number | 1881742401
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Entity Type | Organization
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Legal Business Name | OUR LADY OF BELLEFONTE HOSPITAL INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 1005 E RING RD
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City | IRONTON
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State | OH
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Zip | 45638-9610
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Country | US
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Telephone | 740-533-9010
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Fax | 740-533-0982
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Provider Business Mailing Address
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Address Line | 8580 MAGELLAN PKWY
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City | RICHMOND
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State | VA
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Zip | 23227-1149
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Country | US
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Telephone | 804-627-5462
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Fax | 866-449-0896
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Authorized Official
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Title or Position | CFO
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Name | LAURA BUCZKOWSKI
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Credential |
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Telephone | 410-442-3373
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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 | 150098
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License Number State | KY
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