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General NPI Number Information
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NPI Number | 1649502543
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Entity Type | Organization
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Legal Business Name | SCHUYLKILL IU 29
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 17 MAPLE AVENUE
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City | MARLIN
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State | PA
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Zip | 17951-0130
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Country | US
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Telephone | 570-544-9131
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Fax | 570-544-6412
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Provider Business Mailing Address
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Address Line | 17 MAPLE AVENUE
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City | MAR LIN
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State | PA
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Zip | 17951
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Country | US
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Telephone | 570-544-9131
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Fax | 570-544-6412
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. DIANE NIEDERRITER
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Credential | PHD
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Telephone | 570-544-9131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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