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General NPI Number Information
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NPI Number | 1033810080
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC ALLIANCES LLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3675 MARKET ST STE 200
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2897
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Country | US
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Telephone | 267-982-6539
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Fax |
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Provider Business Mailing Address
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Address Line | 850 S CECIL ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2719
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Country | US
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Telephone | 267-982-6539
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EDMUND PLUMMER
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Credential | M.A., LBC
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Telephone | 267-982-6539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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