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General NPI Number Information
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NPI Number | 1912061672
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Entity Type | Organization
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Legal Business Name | HOMEMAKER-HOME HEALTH AIDE SERVICE OF BEAVER COUNTY, INC.
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 376 MARKET ST
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City | BEAVER
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State | PA
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Zip | 15009-2917
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Country | US
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Telephone | 724-774-4002
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Fax | 724-774-7703
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Provider Business Mailing Address
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Address Line | 376 MARKET ST
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City | BEAVER
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State | PA
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Zip | 15009-2917
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Country | US
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Telephone | 724-774-4002
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Fax | 724-774-7703
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARY ANN BOLLAND
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Credential | M.ED.
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Telephone | 724-774-4002
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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 |
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License Number State |
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