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General NPI Number Information
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NPI Number | 1093185654
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Entity Type | Organization
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Legal Business Name | CRISIS SHELTER OF LAWRENCE COUNTY
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 1218 W STATE ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-2021
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Country | US
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Telephone | 724-652-9206
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Fax | 724-652-9222
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Provider Business Mailing Address
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Address Line | 1218 W STATE ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-2021
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Country | US
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Telephone | 724-652-9206
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Fax | 724-652-9222
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEBORAH HENNON
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Credential |
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Telephone | 724-856-4300
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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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