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General NPI Number Information
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NPI Number | 1639232085
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Entity Type | Organization
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Legal Business Name | BUCKS COUNTY COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE, INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 252 W SWAMP RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2422
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Country | US
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Telephone | 215-345-6644
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Fax | 315-348-3377
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Provider Business Mailing Address
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Address Line | 252 W SWAMP RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2422
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Country | US
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Telephone | 215-345-6644
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Fax | 315-348-3377
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. BEVERLY J HABERLE
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Credential | M.H.S., L.C.A.C.
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Telephone | 215-345-6644
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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 | 097072
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License Number State | PA
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