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General NPI Number Information
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NPI Number | 1942473384
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Entity Type | Organization
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Legal Business Name | COMMUNITY CASE MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 711 HIGH ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2313
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Country | US
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Telephone | 814-414-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 711 HIGH ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2313
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Country | US
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Telephone | 814-414-8105
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ADANA M HOOTEN
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Credential | MSW, LSW
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Telephone | 814-414-8105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | SW011532L
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License Number State | PA
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