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General NPI Number Information
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NPI Number | 1861739054
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Entity Type | Organization
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Legal Business Name | PHOENIX SERVICES, INC.
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 83 S COMMERCE WAY
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City | BETHLEHEM
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State | PA
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Zip | 18017-8934
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Country | US
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Telephone | 610-717-5722
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Fax | 610-750-7167
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Provider Business Mailing Address
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Address Line | 83 S COMMERCE WAY
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City | BETHLEHEM
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State | PA
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Zip | 18017-8934
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Country | US
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Telephone | 610-717-5722
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Fax | 610-750-7167
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JOYCE A GERBER
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Credential | MS, RN, BC
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Telephone | 610-717-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | CER-00051230
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License Number State | PA
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