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General NPI Number Information
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NPI Number | 1073840476
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Entity Type | Organization
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Legal Business Name | THE AFRITUDE INSTITUTE
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 1213 VINE ST SUITE 117
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1111
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Country | US
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Telephone | 215-535-3271
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 VINE ST SUITE 117
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1111
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Country | US
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Telephone | 215-535-3271
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MISS ANNE MBETTE
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Credential | LPC
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Telephone | 215-535-3271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004425
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License Number State | PA
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