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General NPI Number Information
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NPI Number | 1457617813
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Entity Type | Organization
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Legal Business Name | PHOEBE CORPORATE AND COMMUNITY BASED SERVICES INC
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 1 READING DR
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City | WERNERSVILLE
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State | PA
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Zip | 19565-2018
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Country | US
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Telephone | 610-927-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 W TURNER ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-5513
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Country | US
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Telephone | 610-794-5010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO/CFO
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Name | MR. SCOTT R STEVENSON
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Credential |
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Telephone | 610-794-5142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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