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General NPI Number Information
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NPI Number | 1326291261
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Entity Type | Organization
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Legal Business Name | ARMSTRONG-INDIANA MH/MR PROGRAM
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 124 ARMSDALE RD ARMSDALE ADMINISTRATION BUILDING, SUITE 105
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City | KITTANNING
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State | PA
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Zip | 16201-3738
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Country | US
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Telephone | 724-548-3451
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Fax | 724-548-3454
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Provider Business Mailing Address
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Address Line | 124 ARMSDALE RD ARMSDALE ADMINISTRATION BUILDING, SUITE 105
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City | KITTANNING
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State | PA
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Zip | 16201-3738
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Country | US
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Telephone | 724-548-3451
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Fax | 724-548-3454
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Authorized Official
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Title or Position | ADMINISTRATOR/ EXECUTIVE DIRECTOR
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Name | JAMES KUEMMERLE
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Credential | ACSW, LCSW
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Telephone | 724-548-3451
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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 |
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License Number State |
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