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General NPI Number Information
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NPI Number | 1336574821
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Entity Type | Organization
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Legal Business Name | THE BAIR FOUNDATION OF PENNSYLVANIA
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 245 HIGH ST
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-1116
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Country | US
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Telephone | 724-946-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 241 HIGH ST
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-1116
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Country | US
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Telephone | 724-946-2220
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR OF MENTAL HEALTH
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Name | ANDREA MORRISON
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Credential |
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Telephone | 724-761-4260
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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 | 329980
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License Number State | PA
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Taxonomy #2
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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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