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General NPI Number Information
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NPI Number | 1932393881
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE OF YORK COUNTY
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 1085 HEARN ST APT G
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City | ROCK HILL
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State | SC
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Zip | 29732-2635
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Country | US
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Telephone | 803-448-8417
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Fax | 803-324-9117
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Provider Business Mailing Address
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Address Line | 1085 HEARN ST APT G
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City | ROCK HILL
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State | SC
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Zip | 29732-2635
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Country | US
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Telephone | 803-448-8417
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Fax | 803-324-9117
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOSEPHINE HENRY DOGAN
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Credential | BSW
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Telephone | 803-448-8417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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