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NPI 1750304721

NPI 1750304721 : PRIMARY CARE SUPPORT SERVICES INC : TOWNVILLE, PA

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General NPI Number Information
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    NPI Number           |    1750304721
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIMARY CARE SUPPORT SERVICES INC 
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Dates
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    Enumeration Date     |    07/25/2006
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    Last Update Date     |    12/18/2008
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Provider Practice Location Address
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    Address Line         |    31799 STATE HWY 408 
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    City                 |    TOWNVILLE
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    State                |    PA
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    Zip                  |    16360-1903
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    Country              |    US
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    Telephone            |    814-373-2260
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    Fax                  |    814-967-5205
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Provider Business Mailing Address
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    Address Line         |    31799 STATE HWY 408 
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    City                 |    TOWNVILLE
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    State                |    PA
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    Zip                  |    16360-1903
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    Country              |    US
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    Telephone            |    814-373-2260
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    Fax                  |    814-967-5205
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. CURTIS D HELGERT 
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    Credential           |    DO
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    Telephone            |    814-373-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    204D00000X
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    Taxonomy Name        |    Neuromusculoskeletal Medicine & OMM Physician
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    License Number       |    
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    License Number State |    
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