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General NPI Number Information
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NPI Number | 1033618996
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Entity Type | Organization
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Legal Business Name | ACTS OF FAITH CORP
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 2453 S 61ST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19142-3215
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Country | US
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Telephone | 267-973-9851
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Fax |
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Provider Business Mailing Address
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Address Line | 2453 S 61ST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19142-3215
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Country | US
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Telephone | 267-973-9851
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Fax |
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Authorized Official
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Title or Position | DIRECTOR /CEO
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Name | CYNTHIA TOWNSEND
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Credential | MBA/HA
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Telephone | 267-973-9851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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