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General NPI Number Information
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NPI Number | 1053605899
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Entity Type | Organization
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Legal Business Name | ARISE ACADEMY CHARTER HIGH SCHOOL
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 1118 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3601
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Country | US
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Telephone | 215-563-1656
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Fax | 215-563-5374
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Provider Business Mailing Address
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Address Line | 1118 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3601
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Country | US
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Telephone | 215-563-1656
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Fax | 215-563-5374
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Authorized Official
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Title or Position | CEO
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Name | MR. GABRIEL I KURILOFF
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Credential |
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Telephone | 267-767-1853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | PA
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