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NPI 1295912921 - Clinic/Center - 261Q00000X

NPI Details
NPI 1295912921
Enumeration Date 01/24/2008
Last Updated 12/17/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANNE ANNE
Position CO-EXECUTIVE DIRECTOR
Phone (570) 265-0620
Fax
Practice Location
17 PINE ST
TOWANDA PA, 18848-1811, US
Phone (570) 265-0620
Fax
Business Location
17 PINE ST
TOWANDA PA, 18848-1811, US
Phone (570) 265-0620
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, The Main Link NPI is 1295912921, taxonomy code is 261Q00000X The Main Link physically located at 17 Pine St, Towanda PA, 18848-1811. NPI Number 1033115704 has the healthcare provider type.

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1295912921 NPI number is provided on an as is basis without warranty of any kind. 1295912921 is maintained by the National Plan & Provider Enumeration System. The contents of The Main Link are for informational purposes only.