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General NPI Number Information
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NPI Number | 1710323001
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Entity Type | Organization
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Legal Business Name | UNION COMMUNITY CARE
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 101 S 9TH ST
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City | LEBANON
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State | PA
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Zip | 17042-5108
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Country | US
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Telephone | 717-299-6371
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Fax | 717-273-2817
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Provider Business Mailing Address
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Address Line | 304 N WATER ST
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City | LANCASTER
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State | PA
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Zip | 17603-3374
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Country | US
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Telephone | 717-299-6371
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Fax | 717-325-8057
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | ALISA JONES
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Credential |
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Telephone | 717-945-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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