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General NPI Number Information
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NPI Number | 1942792858
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Entity Type | Organization
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Legal Business Name | SBK4 MANAGEMENT, LLC
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 2410 PERRY HWY, UNIT 410-F
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City | ZELIENOPLE
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State | PA
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Zip | 16063
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Country | US
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Telephone | 724-452-6691
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Fax |
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Provider Business Mailing Address
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Address Line | 44 TIMBERHILL DR
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City | SEWICKLEY
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State | PA
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Zip | 15143-8911
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Country | US
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Telephone | 412-551-8786
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRENDAN KEN NY
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Credential |
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Telephone | 412-551-8786
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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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