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General NPI Number Information
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NPI Number | 1578561049
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Entity Type | Organization
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Legal Business Name | PHOEBE BERKS HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 1 HEIDELBERG DR
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City | WERNERSVILLE
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State | PA
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Zip | 19565
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Country | US
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Telephone | 610-927-8574
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Fax | 610-927-8422
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Provider Business Mailing Address
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Address Line | 1 READING DRIVE
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City | WERNESVILLE
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State | PA
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Zip | 19565
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Country | US
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Telephone | 610-927-8574
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Fax | 610-927-8422
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Authorized Official
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Title or Position | CEO/CFO
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Name | MR. SCOTT R STEVENSON
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Credential |
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Telephone | 610-794-5142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 324414
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 167802
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License Number State | PA
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