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General NPI Number Information
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NPI Number | 1124517768
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Entity Type | Organization
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Legal Business Name | CMU
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 1349 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-4504
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Country | US
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Telephone | 717-644-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 S CAMERON ST STE 1
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City | HARRISBURG
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State | PA
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Zip | 17104-2547
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Country | US
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Telephone | 717-441-7033
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Fax | 717-232-9350
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Authorized Official
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Title or Position | CFO
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Name | MR. MARK A VERANO
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Credential |
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Telephone | 717-441-7033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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