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General NPI Number Information
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NPI Number | 1568929966
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Entity Type | Organization
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Legal Business Name | PENN FOUNDATION INC
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 271 BETHLEHEM PIKE STE 201
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City | COLMAR
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State | PA
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Zip | 18915-2000
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Country | US
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Telephone | 267-452-1900
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Fax | 267-452-1920
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Provider Business Mailing Address
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Address Line | 807 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-257-6551
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Fax | 215-257-9347
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Authorized Official
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Title or Position | EXECUTIVE COORD OF MEDICAL STAFF
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Name | MARY REASER
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Credential |
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Telephone | 215-453-5162
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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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