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General NPI Number Information
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NPI Number | 1457490435
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Entity Type | Organization
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Legal Business Name | ERIE CITY MISSION - HOPE CENTER
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 1017 FRENCH ST.
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City | ERIE
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State | PA
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Zip | 16501-2003
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Country | US
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Telephone | 814-452-4421
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Fax | 814-455-8825
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Provider Business Mailing Address
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Address Line | 1017 FRENCH ST
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City | ERIE
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State | PA
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Zip | 16501-2003
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Country | US
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Telephone | 814-452-4421
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Fax | 814-455-8825
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Authorized Official
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Title or Position | DIRECTOR OF HOPE CENTER
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Name | MR. MIKE MURNOCK
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Credential | MED NCC,LPC,BCPC
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Telephone | 814-452-4421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 257075
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License Number State | PA
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