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General NPI Number Information
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NPI Number | 1376673202
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Entity Type | Organization
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Legal Business Name | PENN FOUNDATION, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 64 N COUNTY LINE RD
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City | SOUDERTON
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State | PA
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Zip | 18964-1159
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Country | US
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Telephone | 215-257-1183
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Fax | 215-257-0485
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Provider Business Mailing Address
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Address Line | 807 LAWN AVE P.O. BOX 32
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-257-6551
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Fax | 215-257-9347
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Authorized Official
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Title or Position | CEO
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Name | WAYNE MUGRAUER
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Credential | M.P.A.
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Telephone | 215-257-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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