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General NPI Number Information
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NPI Number | 1255932174
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Entity Type | Organization
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Legal Business Name | NORTHEAST COUNSELING SERVICE
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 85 S OLD TURNPIKE RD
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City | DRUMS
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State | PA
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Zip | 18222-1731
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Country | US
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Telephone | 570-455-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 750 E BROAD ST
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City | HAZLETON
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State | PA
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Zip | 18201-6835
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Country | US
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Telephone | 570-455-6385
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Fax |
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Authorized Official
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Title or Position | MIS DIRECTOR
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Name | RICH ZABINSKI
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Credential |
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Telephone | 570-455-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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