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General NPI Number Information
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NPI Number | 1104152164
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Entity Type | Organization
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Legal Business Name | CONTINUING OPPORTUNITY FOR FAMILY EDUCATION ENRICHMENT
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 6036 N 12TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3204
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Country | US
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Telephone | 215-224-2965
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Fax |
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Provider Business Mailing Address
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Address Line | 6036 N 12TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JERRY HAWTHONRE
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Credential |
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Telephone | 215-224-2965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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