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NPI 1871911776

NPI 1871911776 : PATIENT CARE COORDINATION, INC. : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1871911776
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATIENT CARE COORDINATION, INC. 
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Dates
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    Enumeration Date     |    03/29/2014
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    475 N 5TH ST STE 2A 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19123-4017
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    Country              |    US
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    Telephone            |    215-725-7200
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    Fax                  |    215-725-7201
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Provider Business Mailing Address
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    Address Line         |    475 N 5TH ST STE 2A 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19123-4017
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    Country              |    US
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    Telephone            |    215-725-7200
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    Fax                  |    215-725-7201
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. PAUL S RIMAR 
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    Credential           |    MSW
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    Telephone            |    215-725-7200
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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       |    
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    License Number State |    
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Taxonomy #2
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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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