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General NPI Number Information
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NPI Number | 1518168368
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Entity Type | Organization
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Legal Business Name | SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 1330 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1402
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Country | US
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Telephone | 814-459-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL CARE SERVICES
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Name | MANDY FAUBLE
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Credential |
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Telephone | 814-451-2225
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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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