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General NPI Number Information
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NPI Number | 1336579911
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Entity Type | Organization
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Legal Business Name | SENTIER LLC
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 179 FORSYTHIA DR N
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City | LEVITTOWN
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State | PA
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Zip | 19056-1935
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Country | US
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Telephone | 215-486-5928
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Fax |
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Provider Business Mailing Address
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Address Line | 179 FORSYTHIA DR N
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City | LEVITTOWN
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State | PA
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Zip | 19056-1935
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Country | US
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Telephone | 215-486-5928
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. HELENE A LODGE
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Credential | MS OTR/L
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Telephone | 215-486-5928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | OC004385L
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License Number State | PA
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