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NPI 1811290653

NPI 1811290653 : CRAIG R. SCHOLLENBERGER LCSW, BCD : POTTSTOWN, PA

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General NPI Number Information
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    NPI Number           |    1811290653
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    Entity Type          |    Individual 
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    Provider Name        |    CRAIG R. SCHOLLENBERGER LCSW, BCD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/17/2010
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    Last Update Date     |    09/04/2019
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Provider Practice Location Address
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    Address Line         |    1800 E HIGH ST STE 250 
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    City                 |    POTTSTOWN
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    State                |    PA
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    Zip                  |    19464-9226
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    Country              |    US
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    Telephone            |    484-797-3245
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8597 
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    City                 |    READING
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    State                |    PA
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    Zip                  |    19603-8597
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    Country              |    US
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    Telephone            |    484-797-3245
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    Fax                  |    610-487-3014
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CW014018
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    License Number State |    PA
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