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General NPI Number Information
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NPI Number | 1992794853
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Entity Type | Organization
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Legal Business Name | SACRED HEART HOSPITAL OF ALLENTOWN
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 421 W CHEW ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-3406
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Country | US
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Telephone | 610-776-5329
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Fax | 610-776-5351
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Provider Business Mailing Address
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Address Line | 421 W CHEW ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-3406
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Country | US
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Telephone | 610-776-5329
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Fax | 610-776-5351
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Authorized Official
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Title or Position | SENIOR VP FINANCE
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Name | MR. THOMAS P LICHTENWALNER
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Credential |
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Telephone | 484-526-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 920370
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License Number State | PA
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