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General NPI Number Information
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NPI Number | 1891504650
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Entity Type | Organization
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Legal Business Name | PENNSCOPE MOBILE ENDOSCOPY LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 134 E MARKET ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-2406
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Country | US
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Telephone | 814-205-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 917 CUMBERLAND ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-2025
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Country | US
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Telephone | 814-553-8407
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA STARR
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Credential | M.S. CCC-SLP
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Telephone | 814-553-8407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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