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General NPI Number Information
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NPI Number | 1851945588
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Entity Type | Organization
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Legal Business Name | PCA CARE CONNECTIONS
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 642 N BROAD ST STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3424
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Country | US
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Telephone | 215-282-6500
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Fax | 215-282-6620
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Provider Business Mailing Address
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Address Line | 642 N BROAD ST STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3424
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Country | US
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Telephone | 215-282-6500
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Fax | 215-282-6620
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANN DANISH
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Credential |
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Telephone | 215-282-6500
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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 |
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