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General NPI Number Information
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NPI Number | 1467252536
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Entity Type | Organization
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Legal Business Name | MERAKEY PENNSYLVANIA
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 711 COLONIAL DR
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City | BATON ROUGE
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State | LA
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Zip | 70806-6549
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Country | US
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Telephone | 215-836-3131
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Fax | 215-273-5975
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Provider Business Mailing Address
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Address Line | 620 GERMANTOWN PIKE
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444-1810
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Country | US
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Telephone | 215-836-3131
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Fax | 215-273-5975
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Authorized Official
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Title or Position | CORP SR. DIRECTOR OF BUSINESS OPS.
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Name | MR. NORMAN E TILSON JR.
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Credential |
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Telephone | 215-836-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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