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General NPI Number Information
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NPI Number | 1528255130
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Entity Type | Organization
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Legal Business Name | HANOVER HEALTH CORPORATION, INC.
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 195 STOCK ST SUITE 305
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City | HANOVER
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State | PA
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Zip | 17331-2266
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Country | US
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Telephone | 717-633-9229
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Fax | 717-633-5552
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Provider Business Mailing Address
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Address Line | 195 STOCK ST SUITE 305
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City | HANOVER
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State | PA
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Zip | 17331-2266
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Country | US
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Telephone | 717-633-9229
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Fax | 717-633-5552
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. MARILYN A. OLEJNIK
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Credential |
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Telephone | 717-633-3511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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