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General NPI Number Information
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NPI Number | 1528699931
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Entity Type | Organization
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Legal Business Name | CARON OUTPATIENT SERVICES, LLC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 401 PLYMOUTH RD STE 325
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1650
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Country | US
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Telephone | 678-678-2332
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Fax | 484-435-7336
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Provider Business Mailing Address
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Address Line | PO BOX 150
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City | WERNERSVILLE
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State | PA
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Zip | 19565-0150
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Country | US
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Telephone | 800-678-2332
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Fax | 484-345-4318
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Authorized Official
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Title or Position | SR DIRECTOR PATIENT FINANCIAL SERVI
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Name | KELLY J CURRENT
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Credential |
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Telephone | 610-743-6140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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