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General NPI Number Information
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NPI Number | 1669690764
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Entity Type | Organization
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Legal Business Name | CLEARFIELD HOSPITAL
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 809 TURNPIKE AVE
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City | CLEARFIELD
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State | PA
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Zip | 16830-1232
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Country | US
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Telephone | 814-765-5341
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Fax | 814-768-2344
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Provider Business Mailing Address
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Address Line | 809 TURNPIKE AVE
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City | CLEARFIELD
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State | PA
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Zip | 16830-1232
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Country | US
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Telephone | 814-765-5341
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Fax | 814-768-2344
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DAVID MCCONNELL
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Credential |
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Telephone | 814-768-2497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 291301
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License Number State | PA
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