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General NPI Number Information
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NPI Number | 1285786913
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Entity Type | Organization
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Legal Business Name | SKILLS OF CENTRAL PENNSYLVANIA, INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 341 SCIENCE PARK RD SUITE 6
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City | STATE COLLEGE
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State | PA
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Zip | 16803-2287
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Country | US
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Telephone | 814-238-3245
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Fax | 814-238-5117
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Provider Business Mailing Address
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Address Line | 341 SCIENCE PARK RD SUITE 6
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City | STATE COLLEGE
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State | PA
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Zip | 16803-2287
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Country | US
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Telephone | 814-238-3245
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Fax | 814-238-5117
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. DAVID MIKE RICE
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Credential |
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Telephone | 814-238-3245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State | PA
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