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General NPI Number Information
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NPI Number | 1356764401
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Entity Type | Individual
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Provider Name | JOSEPH CULLERS LSW
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Gender | Male
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 809 W 26TH ST STE 2
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City | ERIE
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State | PA
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Zip | 16508-3205
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Country | US
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Telephone | 814-461-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 326 CREEKSIDE LN
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City | SPRING CREEK
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State | PA
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Zip | 16436-2608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW130723
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License Number State | PA
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