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General NPI Number Information
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NPI Number | 1013035161
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICE AND CHILDREN'S AID SOCIETY OF VENANGO COUNTY
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 06/16/2017
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Provider Practice Location Address
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Address Line | 29 PEARL AVENUE
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City | OIL CITY
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State | PA
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Zip | 16301
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Country | US
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Telephone | 814-677-4005
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Fax | 814-677-9592
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Provider Business Mailing Address
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Address Line | 716 E 2ND ST
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City | OIL CITY
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State | PA
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Zip | 16301-2330
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Country | US
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Telephone | 814-677-4005
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Fax | 814-677-6159
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARY K SERAFIN
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Credential |
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Telephone | 814-677-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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