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General NPI Number Information
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NPI Number | 1710038526
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1431 WALNUT ST
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City | LEBANON
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State | PA
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Zip | 17042-4565
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Country | US
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Telephone | 717-657-4804
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Fax | 717-657-8683
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Provider Business Mailing Address
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Address Line | 1431 WALNUT ST
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City | LEBANON
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State | PA
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Zip | 17042-4565
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Country | US
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Telephone | 717-657-4804
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Fax | 717-657-8683
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR CEO
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Name | MARK A TOTARO
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Credential | PHD
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Telephone | 717-657-4804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 313720
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License Number State | PA
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