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Individual

JASON COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3271 FARONIA ST, PITTSBURGH, PA 15204-2144
(914) 557-1819
Mailing address
3271 FARONIA ST, PITTSBURGH, PA 15204-2144
(914) 557-1819

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251E00000X
Home Health Agency
Primary
374U00000X
Home Health Aide
30963601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073061362
HOME HEALTH AGENCY
PA
05
1073061362
PA
Enumeration date
04/19/2018
Last updated
04/30/2018
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