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General NPI Number Information
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NPI Number | 1386779221
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Entity Type | Organization
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Legal Business Name | CARE FOR CHILDREN
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 RUSSELL BLVD
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City | BRADFORD
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State | PA
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Zip | 16701-3247
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Country | US
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Telephone | 814-362-4621
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 616
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City | BRADFORD
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State | PA
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Zip | 16701-0616
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Country | US
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Telephone | 814-362-4621
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VALORIE J. COAST
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Credential |
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Telephone | 814-362-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT008816E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OC009615
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT013931L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT012682L
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License Number State | PA
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