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General NPI Number Information
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NPI Number | 1477947620
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Entity Type | Organization
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Legal Business Name | SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 546 BROADWAY
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City | HANOVER
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State | PA
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Zip | 17331-2007
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Country | US
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Telephone | 717-739-6576
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Fax | 717-630-9678
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Provider Business Mailing Address
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Address Line | 546 BROADWAY
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City | HANOVER
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State | PA
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Zip | 17331-2007
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Country | US
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Telephone | 717-739-6576
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Fax | 717-630-9678
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Authorized Official
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Title or Position | CEO
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Name | SHARRON HILL
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Credential |
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Telephone | 717-739-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS017668
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License Number State | PA
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Taxonomy #2
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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 #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC003017
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License Number State | PA
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