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General NPI Number Information
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NPI Number | 1679345359
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Entity Type | Organization
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Legal Business Name | ZENCARE EXPRESS
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1616 GREEN ST
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City | HARRISBURG
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State | PA
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Zip | 17102-2416
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Country | US
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Telephone | 717-215-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 GREEN ST
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City | HARRISBURG
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State | PA
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Zip | 17102-2416
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Country | US
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Telephone | 717-215-7343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID LAUGHEAD
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Credential |
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Telephone | 717-215-7343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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