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General NPI Number Information
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NPI Number | 1427596071
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Entity Type | Organization
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Legal Business Name | HOLON SYSTEMS CARE, LLC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 108 W ROBERTS ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3028
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Country | US
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Telephone | 610-613-6505
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Fax |
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Provider Business Mailing Address
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Address Line | 207 E MAIN ST SUITE 6
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City | NORRISTOWN
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State | PA
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Zip | 19401-5068
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Country | US
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Telephone | 610-613-6505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAY J SALAS
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Credential | LPC
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Telephone | 610-613-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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