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General NPI Number Information
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NPI Number | 1033471412
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SERVICES
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 640 ALDEN ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2348
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Country | US
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Telephone | 814-373-5200
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Fax | 814-373-5205
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Provider Business Mailing Address
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Address Line | 640 ALDEN ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2348
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Country | US
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Telephone | 814-373-5200
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Fax | 814-373-5205
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MICHAEL C. DOWNING
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Credential |
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Telephone | 814-373-2449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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