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General NPI Number Information
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NPI Number | 1871797167
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY COMMUNITY MENTAL HEALTH CENTER INC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 865 E 4TH ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1935
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Country | US
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Telephone | 610-691-4357
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Fax | 484-221-9130
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Provider Business Mailing Address
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Address Line | 2030 W TILGHMAN ST SUITE 105B
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City | ALLENTOWN
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State | PA
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Zip | 18104-4354
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Country | US
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Telephone | 484-221-9135
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Fax | 484-221-9130
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Authorized Official
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Title or Position | CEO
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Name | MELISSA A CHLEBOWSKI
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Credential |
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Telephone | 484-221-9135
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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 | 242960
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License Number State | PA
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