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General NPI Number Information
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NPI Number | 1083256408
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Entity Type | Organization
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Legal Business Name | MAST COMMUNITY CHARTER SCHOOL III
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 1 CROWN WAY
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City | PHILADELPHIA
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State | PA
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Zip | 19154-4501
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Country | US
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Telephone | 267-574-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CROWN WAY
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City | PHILADELPHIA
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State | PA
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Zip | 19154-4501
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Country | US
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Telephone | 267-574-9855
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN F SWOYER III
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Credential |
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Telephone | 267-348-1100
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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 |
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