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General NPI Number Information
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NPI Number | 1194088351
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Entity Type | Organization
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Legal Business Name | SPANISH AMERICAN CIVIC ASSOCIATION FOR EQUITY, INC
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 453 S LIME ST SUITE A
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City | LANCASTER
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State | PA
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Zip | 17602-3649
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Country | US
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Telephone | 717-431-1411
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Fax | 717-295-7762
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Provider Business Mailing Address
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Address Line | 545 PERSHING AVE
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City | LANCASTER
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State | PA
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Zip | 17602-4369
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Country | US
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Telephone | 717-293-4150
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CARLOS GRAUPERA
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Credential |
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Telephone | 717-509-3712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 329680
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License Number State | PA
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