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General NPI Number Information
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NPI Number | 1568700243
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Entity Type | Organization
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Legal Business Name | BETHANY CHRISTIAN SERVICES
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 2101 N FRONT ST BUILDING #1 SUITE 201
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City | HARRISBURG
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State | PA
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Zip | 17110-1086
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Country | US
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Telephone | 717-238-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 N FRONT ST BUILDING #1 SUITE 201
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City | HARRISBURG
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State | PA
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Zip | 17110-1086
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Country | US
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Telephone | 717-238-3549
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Fax |
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Authorized Official
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Title or Position | SATELLITE OFFICE BRANCH DIRECTOR
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Name | ELAINE SHENK
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Credential | MS
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Telephone | 717-238-3549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | SW129195
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | SW129195
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License Number State | PA
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