NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1376526111
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
STATE ROUTE 1014
TORRANCE
PA
157790111
1710292446
PINNAKA
SUBHASH
CHANDRA BOSE
315 KIM LN
WINDBER
PA
159638722
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