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General NPI Number Information
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NPI Number | 1609251594
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Entity Type | Organization
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Legal Business Name | JOURNEY CENTER
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 107 S SPRING ST
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City | BELLEFONTE
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State | PA
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Zip | 16823-1335
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Country | US
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Telephone | 814-977-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BEDFORD ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1768
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Country | US
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Telephone | 814-977-5345
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KIM BENNETT
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Credential |
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Telephone | 814-977-5345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | PA
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