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General NPI Number Information
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NPI Number | 1053460436
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Entity Type | Organization
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Legal Business Name | KIDS COUNT II
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 403 W JEFFERSON ST
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City | BUTLER
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State | PA
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Zip | 16001-5450
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Country | US
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Telephone | 724-287-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 226 NEW CASTLE ST
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City | BUTLER
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State | PA
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Zip | 16001-5254
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Country | US
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Telephone | 724-287-3000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. TERENCE BROWN
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Credential |
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Telephone | 724-287-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 420970
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License Number State | PA
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