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General NPI Number Information
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NPI Number | 1174949903
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Entity Type | Organization
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Legal Business Name | EMOTIONAL HEALTH CENTER OF LANCASTER, LLC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 1525 OREGON PIKE SUITE 1002
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City | LANCASTER
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State | PA
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Zip | 17601-4372
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Country | US
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Telephone | 717-405-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 OREGON PIKE SUITE 1002
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City | LANCASTER
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State | PA
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Zip | 17601-4372
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Country | US
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Telephone | 717-405-0554
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RONALD GENE VOGT
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Credential | PH.D.
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Telephone | 717-405-0554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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