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General NPI Number Information
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NPI Number | 1124213129
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Entity Type | Organization
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Legal Business Name | GETWELL BEHAVIORAL HEALTHCARE INC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 2227 E VENANGO ST
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City | PHILADELPHIA
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State | PA
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Zip | 19134-2739
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Country | US
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Telephone | 215-437-7478
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Fax | 856-235-2337
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Provider Business Mailing Address
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Address Line | 130 COUNTRY CLUB DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3974
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Country | US
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Telephone | 856-235-2337
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Fax | 856-235-2337
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAYODE OMOSHOLA ADUNBARIN
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Credential | M.D.
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Telephone | 215-437-7478
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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 | MD429515
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License Number State | PA
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