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General NPI Number Information
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NPI Number | 1023173762
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Entity Type | Organization
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Legal Business Name | RESOURCES FOR HUMAN DEVELOPMENT
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 3653 N 15TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4137
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Country | US
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Telephone | 215-228-2323
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Fax | 215-228-3188
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Provider Business Mailing Address
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Address Line | 4700 WISSAHICKON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19144-4248
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Country | US
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Telephone | 215-951-0300
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Fax | 215-951-0312
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ROBERT FISHMAN
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Credential | MSW
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Telephone | 215-951-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1000017080165
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License Number State | PA
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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