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General NPI Number Information
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NPI Number | 1982608832
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Entity Type | Organization
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Legal Business Name | ADVANCED II
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 290 BILMAR DR STE 301
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City | PITTSBURGH
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State | PA
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Zip | 15205-4601
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Country | US
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Telephone | 412-344-4100
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Fax | 412-344-4104
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Provider Business Mailing Address
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Address Line | 3912 LIBRARY RD STE 202
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City | PITTSBURGH
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State | PA
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Zip | 15234-1844
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Country | US
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Telephone | 412-344-4100
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Fax | 412-344-4104
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RICHARD GRIFFIN
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Credential |
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Telephone | 412-344-4100
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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 | 77590501
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License Number State | PA
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