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General NPI Number Information
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NPI Number | 1891721296
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Entity Type | Organization
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Legal Business Name | ALLEGHENY LUTHERAN SOCIAL MINISTRIES
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 QUAIL AVE
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City | ALTOONA
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State | PA
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Zip | 16602-3010
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Country | US
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Telephone | 814-696-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 915 HICKORY ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. PATRICIA SAVAGE
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Credential |
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Telephone | 814-696-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 110660
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License Number State | PA
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