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General NPI Number Information
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NPI Number | 1831429679
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Entity Type | Organization
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Legal Business Name | PERFORMANCE STRATEGIES, INC
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 495 LAKE RD
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City | CANADENSIS
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State | PA
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Zip | 18325-7842
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Country | US
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Telephone | 570-595-6055
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Fax | 570-595-6055
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Provider Business Mailing Address
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Address Line | 495 LAKE RD
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City | CANADENSIS
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State | PA
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Zip | 18325-7842
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Country | US
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Telephone | 570-595-6055
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Fax | 570-595-6055
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Authorized Official
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Title or Position | PRES
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Name | JEAN FALZON
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Credential | PC
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Telephone | 570-595-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PC002248
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License Number State | PA
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