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General NPI Number Information
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NPI Number | 1033597638
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH CARE SERVICES
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 228 RIDGE AVE
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City | SOUDERTON
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State | PA
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Zip | 18964-1442
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Country | US
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Telephone | 267-219-7986
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Fax | 267-382-0109
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Provider Business Mailing Address
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Address Line | 228 RIDGE AVE
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City | SOUDERTON
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State | PA
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Zip | 18964-1442
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Country | US
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Telephone | 267-219-7986
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Fax | 267-382-0109
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Authorized Official
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Title or Position | DIRECTOR COMMUNITY BASED SERVICES
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Name | SHIRLEY WEAVER
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Credential | OTR/L MSOL
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Telephone | 215-587-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 285504
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License Number State | PA
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