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General NPI Number Information
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NPI Number | 1114699626
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Entity Type | Organization
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Legal Business Name | YOUR TIME TESTING
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Dates
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Enumeration Date | 10/03/2021
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Last Update Date | 10/03/2021
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Provider Practice Location Address
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Address Line | 1020 E PRICE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138
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Country | US
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Telephone | 267-403-6528
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Fax |
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Provider Business Mailing Address
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Address Line | 1970 VETERANS HIGHWAY E19
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City | LEVITTOWN
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State | PA
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Zip | 19056
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Country | US
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Telephone | 267-403-6528
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KARROL A LLOYD
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Credential |
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Telephone | 267-403-6528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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