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General NPI Number Information
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NPI Number | 1649588807
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Entity Type | Organization
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Legal Business Name | MY SC SERVICES LLC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 3801 GERMANTOWN PIKE SUITE 201 C
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-4019
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Country | US
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Telephone | 484-686-1045
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Fax | 484-902-0120
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Provider Business Mailing Address
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Address Line | 3801 GERMANTOWN PIKE SUITE 201 C
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-4019
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Country | US
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Telephone | 484-686-1045
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Fax | 484-902-0120
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Authorized Official
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Title or Position | DIRECTOR
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Name | PATRICK J BRADLEY
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Credential | J.D.
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Telephone | 484-686-1045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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