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General NPI Number Information
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NPI Number | 1932246337
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Entity Type | Organization
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Legal Business Name | OUTH EASTERN PENNSYLVANIA COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE, INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1007 N EASTON RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-1049
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Country | US
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Telephone | 215-340-9995
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Fax | 215-340-1134
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Provider Business Mailing Address
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Address Line | 1007 N EASTON RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-1049
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Country | US
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Telephone | 215-340-9995
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Fax | 215-340-1134
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN M. PAGE
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Credential | MHS, CAC, BRI, NCI
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Telephone | 215-340-9995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | PA
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