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General NPI Number Information
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NPI Number | 1942584032
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Entity Type | Organization
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Legal Business Name | NASR CONSULTANT GROUP INCORPORATED
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 2552 JEFFERSON ST
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City | HARRISBURG
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State | PA
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Zip | 17110-2519
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Country | US
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Telephone | 223-239-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 230 MUENCH ST
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City | HARRISBURG
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State | PA
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Zip | 17102-2230
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Country | US
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Telephone | 717-443-5416
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBERT ALLEN BOSWELL
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Credential |
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Telephone | 717-443-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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