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General NPI Number Information
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NPI Number | 1124173588
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Entity Type | Organization
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Legal Business Name | TABOR CHILDREN'S SERVICES
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 57 E ARMAT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-2201
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Country | US
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Telephone | 215-842-4800
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Fax | 215-842-4809
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Provider Business Mailing Address
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Address Line | 601 NEW BRITAIN RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2788
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Country | US
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Telephone | 215-842-4800
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Fax | 215-348-9261
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Authorized Official
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Title or Position | CHIEF INFORMATION OFFICER
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Name | DR. ROBERT EDWARD HAUSSMANN
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Credential | PH.D.
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Telephone | 215-842-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 1000038560009
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 1000038560009
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 1000038560009
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License Number State | PA
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