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General NPI Number Information
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NPI Number | 1083257133
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Entity Type | Organization
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Legal Business Name | HOMES OF HUMANITY, LLC
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 47 N 51ST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19139-2726
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Country | US
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Telephone | 267-353-8623
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 CHESTNUT ST # 454
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4140
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Country | US
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Telephone | 267-353-8623
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAZMYNNE PRATT
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Credential |
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Telephone | 609-200-2756
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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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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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