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General NPI Number Information
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NPI Number | 1326190240
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Entity Type | Organization
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Legal Business Name | ASSOCIATED FAMILY CARE SERVICES INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 17 ELIZABETH STREET
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City | FORTY FORT
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State | PA
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Zip | 18704
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Country | US
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Telephone | 570-287-8661
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Fax | 570-287-0192
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Provider Business Mailing Address
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Address Line | 17 ELIZABETH STREET
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City | FORTY FORT
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State | PA
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Zip | 18704
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Country | US
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Telephone | 570-287-8661
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Fax | 570-287-0192
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SANDRA LYNN ZIEBRO
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Credential | LPN
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Telephone | 570-287-8661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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