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General NPI Number Information
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NPI Number | 1922069822
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Entity Type | Organization
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Legal Business Name | SOUTHERN TIER HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 198 N MAIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1153
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Country | US
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Telephone | 585-593-3240
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Fax | 585-593-3336
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Provider Business Mailing Address
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Address Line | 198 N MAIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1153
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Country | US
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Telephone | 585-593-3240
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Fax | 585-593-3336
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Authorized Official
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Title or Position | PRESIDENT ADMINISTRATOR
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Name | MR. ROBERT HENRY SALEVSKY JR.
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Credential |
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Telephone | 585-593-3240
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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 | 0891L001
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License Number State | NY
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