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General NPI Number Information
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NPI Number | 1003784901
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Entity Type | Organization
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Legal Business Name | CARE SERVICES SUPPORTS MANAGEMENT
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1513 WIDENER PL
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1813
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Country | US
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Telephone | 215-851-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 DEKALB PIKE # 1031
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City | NORRISTOWN
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State | PA
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Zip | 19401-1823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KHADIRAH HARPER
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Credential |
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Telephone | 215-851-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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