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General NPI Number Information
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NPI Number | 1154592939
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Entity Type | Organization
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Legal Business Name | SECURE HEALTH, LP
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 700 W 3RD ST
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City | MOUNT CARMEL
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State | PA
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Zip | 17851-1855
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Country | US
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Telephone | 570-339-3909
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Fax | 570-339-1745
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Provider Business Mailing Address
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Address Line | 700 W 3RD ST
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City | MOUNT CARMEL
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State | PA
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Zip | 17851-1855
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Country | US
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Telephone | 570-339-3909
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Fax | 570-339-1745
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. BRIAN D KLINGERMAN
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Credential |
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Telephone | 570-784-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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