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General NPI Number Information
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NPI Number | 1033595921
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Entity Type | Organization
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Legal Business Name | BECTON COMMUNITY SERVICES
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 5244 LEBANON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2307
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Country | US
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Telephone | 267-934-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 N 46TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19131-4614
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Country | US
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Telephone | 267-934-0557
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DR. LESLIE N BECTON
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Credential | EDD LPC
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Telephone | 267-934-0557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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