MEDICARE: TAMARA SAMATHA HARRIS-ROBINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	49533601	PA

General Provider Information

NPI Number	:	1548873144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA SAMATHA HARRIS-ROBINSON

Provider Business Mailing Address
First Line	:	2248 BEDFORD AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-4056
Country	:	US
Telephone Number	:	412-512-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	2248 BEDFORD AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-4056
Country	:	US
Telephone Number	:	412-512-6462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	08/25/2020

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