MR. JOSE ANGEL TAVARES JR.


Address: 39 N 13th St, Allentown, PA 18102-4339
Phone: 4845548654

MR. JOSE ANGEL TAVARES JR. (NPI# 1043876840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043876840
Entity Type Individual
Full Name MR. JOSE ANGEL TAVARES JR.
Credential COUNSELOR
Practice Address 39 N 13th St
Allentown
PA 18102-4339
Practice Telephone 4845548654
Mailing Telephone 4845548654
Enumeration Date 2019-05-16
Last Update Date 2019-05-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Office Location

Street Address 39 N 13TH ST
City ALLENTOWN
State PA
Zip Code 18102-4339

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1972161602 Emily Skutnik Internal Medicine Lvpp 1627 West Chew Street #101, Allentown, PA 18102 2019-05-29
1508336652 Mercy A Gonzalez Devillacis Counselor 843 N . 6 Th St, Allentown, PA 18102 2018-12-03
1134611742 Amanda Catherine Koziel Family Medicine 218 N. 2nd Street, Allentown, PA 18102 2018-05-31
1174981369 Marcos Morales Counselor 462 W. Walnut Street, Allentown, PA 18102 2016-02-03
1740688423 Kidspeace Children's Hospital, Inc. Clinic/Center 451 W. Chew St., Suite 105, Allentown, PA 18102 2014-12-12
1982006250 Martha Lebron Nurse Practitioner 451 Chew St Ste 400, Allentown, PA 18102 2014-09-18
1841699741 Nicole Tennant Physical Therapy Assistant 613 W Allen St, Allentown, PA 18102 2014-08-15
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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1154898831 Thomas Howell Iv Counselor 5655 Bryant St Ste 203, Pittsburgh, PA 15206-1511 2018-10-31
1235632944 Sarah Miller Counselor 38 W Laurel St, Bethlehem, PA 18018-2739 2018-03-09
1841702446 William C Luff Counselor 878 N 26th St, Philadelphia, PA 19130-1821 2017-11-04
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Competitor

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City ALLENTOWN
Zip Code 18102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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