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General NPI Number Information
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NPI Number | 1174201842
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Entity Type | Organization
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Legal Business Name | ABH PENNSYLVANIA CHILDRENS SERVICES INC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 655 SUGARTOWN RD
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City | MALVERN
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State | PA
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Zip | 19355-3303
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Country | US
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Telephone | 484-595-6726
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Fax |
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Provider Business Mailing Address
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Address Line | 655 SUGARTOWN RD
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City | MALVERN
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State | PA
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Zip | 19355-3303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PATRICIA HILLIS-CLARK
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Credential |
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Telephone | 610-329-2103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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