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General NPI Number Information
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NPI Number | 1902848260
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Entity Type | Organization
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Legal Business Name | COMMUNITY AMBULATORY CARE CENTER (CACC), LP
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 N 17TH ST STE 300
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-821-2020
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Fax | 610-821-2016
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Provider Business Mailing Address
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Address Line | 400 N 17TH ST STE 300
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-821-2020
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Fax | 610-821-2016
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Authorized Official
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Title or Position | CODIRECTOR
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Name | MRS. DEBI BAKER
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Credential |
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Telephone | 610-821-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 06331500
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License Number State | PA
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