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General NPI Number Information
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NPI Number | 1619195401
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Entity Type | Organization
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Legal Business Name | HUNTINGDON COUNTY PRIDE, INC.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 1301 MOUNT VERNON AVE
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City | HUNTINGDON
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State | PA
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Zip | 16652-1149
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Country | US
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Telephone | 814-643-5724
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Fax | 814-643-6058
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Provider Business Mailing Address
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Address Line | 1301 MOUNT VERNON AVE
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City | HUNTINGDON
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State | PA
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Zip | 16652-1149
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Country | US
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Telephone | 814-643-5724
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Fax | 814-643-6058
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SANDRA E BAIR
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Credential |
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Telephone | 814-643-5724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 75035522
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License Number State | PA
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