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General NPI Number Information
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NPI Number | 1184650681
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE OF NORTHEASTERN PENNSYLVANIA
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 615 JEFFERSON AVE SUITE 204
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City | SCRANTON
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State | PA
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Zip | 18510-1630
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Country | US
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Telephone | 570-344-1186
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Fax | 570-344-7641
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Provider Business Mailing Address
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Address Line | 615 JEFFERSON AVE SUITE 204
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City | SCRANTON
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State | PA
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Zip | 18510-1630
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Country | US
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Telephone | 570-344-1186
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Fax | 570-344-7641
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SHEILA N ABDO
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Credential | LCSW
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Telephone | 570-344-1186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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