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1679799126 NPI number — CARBON LEHIGH INTERMEDIATE UNIT #21

NPI Number: 1679799126
Health Care Provider/Practitioner: CARBON LEHIGH INTERMEDIATE UNIT #21

Information about “1679799126” NPI (CARBON LEHIGH INTERMEDIATE UNIT #21) exists in 1679799126 in HTML format HTML  |  1679799126 in plain Text format TXT  |  1679799126 in PDF (Portable Document Format) PDF  |  1679799126 in an XML format XML  formats.

NPI Number : 1679799126 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679799126",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CARBON LEHIGH INTERMEDIATE UNIT #21",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4210 E INDEPENDENCE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCHNECKSVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18078-2580",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-769-4111",
    "MailingAddressFaxNumber": "610-769-1250",
    "FirstLinePracticeLocationAddress": "770 STATE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEHIGHTON",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18235-2857",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-769-1160",
    "PracticeLocationAddressFaxNumber": "610-769-1205",
    "EnumerationDate": "04/17/2007",
    "LastUpdateDate": "12/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KOONS",
    "AuthorizedOfficialFirstName": "GREG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "610-769-4111",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "216190",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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