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General NPI Number Information
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NPI Number | 1881602332
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Entity Type | Organization
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Legal Business Name | LEBANON COUNTY COMMISSIONERS
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 590 S 5TH AVE
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City | LEBANON
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State | PA
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Zip | 17042-9195
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Country | US
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Telephone | 717-274-0421
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Fax | 717-274-5501
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Provider Business Mailing Address
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Address Line | 590 S 5TH AVE
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City | LEBANON
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State | PA
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Zip | 17042-9195
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Country | US
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Telephone | 717-274-0421
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Fax | 717-274-5501
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Authorized Official
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Title or Position | AMINISTRATOR
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Name | MR. EDWARD W. SCHLEGEL JR.
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Credential | N.H.A.
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Telephone | 717-274-0421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 290702
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License Number State | PA
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