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General NPI Number Information
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NPI Number | 1750488995
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Entity Type | Organization
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Legal Business Name | PALMERTON HOSPITAL
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 135 LAFAYETTE AVE
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City | PALMERTON
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State | PA
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Zip | 18071-1518
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Country | US
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Telephone | 610-826-3141
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Fax | 610-377-7176
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Provider Business Mailing Address
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Address Line | 135 LAFAYETTE AVE
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City | PALMERTON
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State | PA
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Zip | 18071-1518
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Country | US
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Telephone | 610-826-3141
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Fax | 610-377-7176
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Authorized Official
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Title or Position | CFO
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Name | MRS. ANDREA L. ANDRAE
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Credential |
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Telephone | 610-377-7003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 420601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 920080
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 420601
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License Number State | PA
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