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General NPI Number Information
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NPI Number | 1386867513
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Entity Type | Organization
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Legal Business Name | BELL CLUB,INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 202 CEDAR STREET
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City | RED LION
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State | PA
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Zip | 17356
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Country | US
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Telephone | 717-244-0354
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Fax |
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Provider Business Mailing Address
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Address Line | 160 SOUTH GEORGE STREET
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City | YORK
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State | PA
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Zip | 17401-1408
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Country | US
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Telephone | 717-848-5767
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. IVAN G HILEMAN
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Credential |
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Telephone | 717-848-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 335540
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License Number State | PA
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