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General NPI Number Information
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NPI Number | 1104416965
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Entity Type | Organization
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Legal Business Name | SOUND COMMUNITY SOLUTIONS
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 2001 N. FRONT STREET BLDG 2 STE 321
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City | HARRISBURG
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State | PA
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Zip | 17102-2188
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Country | US
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Telephone | 717-961-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 N. FRONT STREET BLDG 2 STE 321
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City | HARRISBURG
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State | PA
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Zip | 17102-2188
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Country | US
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Telephone | 717-961-9740
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PSYCHIATRIST
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Name | MRS. NICOLE WITMAN
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Credential | DO
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Telephone | 717-364-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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