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General NPI Number Information
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NPI Number | 1114680477
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Entity Type | Organization
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Legal Business Name | INGLIS COMMUNITY SERVICES
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 2560 BELMONT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2700
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Country | US
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Telephone | 215-878-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 BELMONT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2713
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Country | US
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Telephone | 215-581-0713
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CHRISTOPHER BATHE
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Credential |
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Telephone | 215-581-0743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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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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