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General NPI Number Information
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NPI Number | 1891822284
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Entity Type | Organization
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Legal Business Name | ALBRIGHT LIFE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 417 W FREDERICK ST
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City | LANCASTER
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State | PA
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Zip | 17603-2804
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Country | US
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Telephone | 570-524-9930
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Fax | 570-524-9068
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Provider Business Mailing Address
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Address Line | 90 MAPLEWOOD DR
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City | LEWISBURG
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State | PA
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Zip | 17837-6307
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Country | US
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Telephone | 570-524-9930
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Fax | 570-524-9068
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Authorized Official
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Title or Position | VP OF OPERATIONS FOR ALBRIGHT CARE
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Name | MR. SHAUN SMITH
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Credential |
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Telephone | 570-524-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number | 20-5134697
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License Number State | PA
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