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General NPI Number Information
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NPI Number | 1932463866
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Entity Type | Organization
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Legal Business Name | HOME CARE
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 22 GEARING RD
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City | MONONGAHELA
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State | PA
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Zip | 15063-3000
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Country | US
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Telephone | 724-747-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 22 GEARING RD
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City | MONONGAHELA
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State | PA
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Zip | 15063-3000
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Country | US
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Telephone | 724-747-8972
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MRS. PATRICIA ANNE BERNARDING
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Credential |
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Telephone | 724-258-5535
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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 | PN289347
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License Number State | PA
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