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General NPI Number Information
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NPI Number | 1386637734
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 50 BEECH DR
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City | NORRISTOWN
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State | PA
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Zip | 19403-5421
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Country | US
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Telephone | 610-279-6100
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Fax | 610-279-0978
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Provider Business Mailing Address
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Address Line | 50 BEECH DR
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City | NORRISTOWN
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State | PA
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Zip | 19403-5421
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Country | US
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Telephone | 610-279-6100
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Fax | 610-279-0978
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | DEBORAH SHANLEY
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Credential |
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Telephone | 610-279-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 03261
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 173410
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License Number State | PA
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