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General NPI Number Information
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NPI Number | 1033512108
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Entity Type | Organization
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Legal Business Name | COMMUNITY EXPLORERS DAY SERVICES, INC.
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 4700 WISSAHICKON AVE SUITE 1025
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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 | 215-843-2825
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Fax | 215-843-3190
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Provider Business Mailing Address
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Address Line | 4700 WISSAHICKON AVE SUITE 1025
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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 | 215-843-2825
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Fax | 215-843-3190
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DAVID GEORGE
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Credential |
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Telephone | 215-843-2825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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