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General NPI Number Information
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NPI Number | 1205902483
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Entity Type | Organization
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Legal Business Name | GREATER ERIE COMMUNITY ACTION COMMITTEE
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16501-1347
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Country | US
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Telephone | 814-870-5408
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Fax | 814-480-8725
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Provider Business Mailing Address
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Address Line | 27 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16501-1347
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Country | US
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Telephone | 814-870-5408
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Fax | 814-480-8725
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Authorized Official
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Title or Position | DIVISION MANAGER
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Name | MR. C MICHAEL CALHOUN
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Credential |
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Telephone | 814-870-5408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 257028
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License Number State | PA
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