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General NPI Number Information
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NPI Number | 1235457029
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Entity Type | Organization
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Legal Business Name | CARON TREATMENT CENTERS
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 150 N GALEN HALL RD
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City | WERNERSVILLE
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State | PA
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Zip | 19565-9319
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Country | US
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Telephone | 610-746-6568
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Fax | 610-678-2494
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Provider Business Mailing Address
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Address Line | 150 GALEN HALL ROAD
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City | WERNERSVILLE
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State | PA
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Zip | 19565-0150
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Country | US
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Telephone | 610-746-6568
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Fax | 610-678-2494
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Authorized Official
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Title or Position | STAFF PSYCHOLOGIST
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Name | DR. AMY RENEE ANDERSON
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Credential | LPC ,PSYD
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Telephone | 610-743-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | PC004988
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License Number State | PA
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