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General NPI Number Information
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NPI Number | 1780050690
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Entity Type | Organization
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Legal Business Name | CARBON COUNTY
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 401 DELAWARE AVE FL 3
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City | PALMERTON
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State | PA
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Zip | 18071-1946
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Country | US
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Telephone | 610-824-7830
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Fax | 610-824-7836
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Provider Business Mailing Address
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Address Line | 401 DELAWARE AVE FL 3
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City | PALMERTON
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State | PA
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Zip | 18071-1946
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Country | US
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Telephone | 610-824-7830
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Fax | 610-824-7836
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Authorized Official
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Title or Position | AAA ADMININISTRATOR
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Name | MS. SUSAN E ZEIGLER
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Credential |
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Telephone | 610-824-7830
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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 | PA
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