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General NPI Number Information
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NPI Number | 1720622012
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Entity Type | Organization
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Legal Business Name | ERIE COUNTY CARE MANAGEMENT, INC.
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 1601 SASSAFRAS ST
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City | ERIE
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State | PA
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Zip | 16502-1858
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Country | US
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Telephone | 814-528-0600
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Fax | 814-528-0703
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Provider Business Mailing Address
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Address Line | 1601 SASSAFRAS ST
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City | ERIE
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State | PA
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Zip | 16502-1858
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Country | US
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Telephone | 814-528-0600
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Fax | 814-528-0703
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Authorized Official
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Title or Position | CFO
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Name | MR. ERIC JACOB MCGRATH
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Credential | CPA, CGMA
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Telephone | 814-528-0815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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