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General NPI Number Information
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NPI Number | 1104949320
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Entity Type | Organization
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Legal Business Name | CRIME VICTIM CENTER OF ERIE COUNTY, INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 125 W 18TH ST
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City | ERIE
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State | PA
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Zip | 16501-2103
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Country | US
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Telephone | 814-455-9414
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Fax | 814-455-9300
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Provider Business Mailing Address
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Address Line | 125 W 18TH ST
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City | ERIE
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State | PA
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Zip | 16501-2103
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Country | US
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Telephone | 814-455-9414
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Fax | 814-455-9300
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SUSANNE M. POROWSKI
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Credential |
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Telephone | 814-455-9414
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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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