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General NPI Number Information
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NPI Number | 1912115494
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Entity Type | Organization
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Legal Business Name | SMARTHEALTH BETHEL PARK OUTPATIENT CENTER
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 109 DRIFTWOOD DR
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City | MONONGAHELA
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State | PA
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Zip | 15063-1120
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Country | US
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Telephone | 724-258-7495
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Fax | 724-258-5682
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Provider Business Mailing Address
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Address Line | 109 DRIFTWOOD DRIVE
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City | MONONGAHELA
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State | PA
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Zip | 15063
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Country | US
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Telephone | 724-258-7495
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Fax | 724-258-5682
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. KEVIN SANKER
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Credential |
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Telephone | 412-835-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 1208
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License Number State | PA
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