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General NPI Number Information
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NPI Number | 1437697695
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Entity Type | Organization
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Legal Business Name | CROZER-KEYSTONE COMMUNITY FOUNDATION
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 2602 W 9TH ST FL 2
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City | CHESTER
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State | PA
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Zip | 19013-2040
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Country | US
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Telephone | 610-497-7344
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Fax | 610-497-7472
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Provider Business Mailing Address
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Address Line | 200 E STATE ST STE 304
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City | MEDIA
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State | PA
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Zip | 19063-3434
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Country | US
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Telephone | 610-497-7344
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Fax | 610-497-7472
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOANNE CRAIG
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Credential |
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Telephone | 610-497-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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