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General NPI Number Information
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NPI Number | 1881829976
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA PSYCHIATRIC INSTITUTE
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 2501 NORTH THIRD STREET
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City | HARRISBURG
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State | PA
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Zip | 17110-2310
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Country | US
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Telephone | 717-782-4783
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 NORTH THIRD STREET
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City | HARRISBURG
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State | PA
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Zip | 17104-1612
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Country | US
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Telephone | 717-782-6420
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM DALY
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Credential |
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Telephone | 717-782-4742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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