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NPI Code Detail

MEDICARE: DAVAUGHN ALSTON

MEDICARE: DAVAUGHN ALSTON
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
13747P1801XPersonal Care Attendant62983601PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922730647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVAUGHN ALSTON
Provider Business Mailing Address
First Line : 116 CLINTON ST
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1919
Country : US
Telephone Number : 412-883-1326
Fax Number :
Provider Business Practice Location Address
First Line : 239 4TH AVE STE 1401
Second Line :
City : PITTSBURGH
State : PA
Zip : 15222-1715
Country : US
Telephone Number : 866-992-2538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2022
Last Update Date : 07/04/2022

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Directions to “ DAVAUGHN ALSTON ” Practice Location

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