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General NPI Number Information
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NPI Number | 1558341867
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Entity Type | Organization
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Legal Business Name | PEOPLE IN NEED-LAWRENCE COUNTY
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 2703 W STATE ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-8645
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Country | US
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Telephone | 724-657-3303
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Fax | 724-657-3326
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Provider Business Mailing Address
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Address Line | 2703 W STATE ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-8645
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Country | US
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Telephone | 724-657-3303
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Fax | 724-657-3326
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Authorized Official
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Title or Position | MEDICAL OFFICE ADMINISTRATOR
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Name | MRS. GAYLE L KISSICK
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Credential |
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Telephone | 724-657-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 400930
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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 | 400930
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License Number State | PA
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