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General NPI Number Information
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NPI Number | 1073229530
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Entity Type | Organization
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Legal Business Name | COMMUNITY INTEGRATION
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 218 N PINE ST
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City | LANCASTER
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State | PA
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Zip | 17603-3435
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Country | US
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Telephone | 717-559-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 218 N PINE ST
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City | LANCASTER
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State | PA
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Zip | 17603-3435
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Country | US
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Telephone | 717-559-5030
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Fax | 717-222-5248
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL SUGAR
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Credential | LCSW
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Telephone | 410-707-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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