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General NPI Number Information
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NPI Number | 1124826201
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Entity Type | Organization
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Legal Business Name | HEROES RING LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 747 WYNNEWOOD RD
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3820
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Country | US
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Telephone | 267-506-5936
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Fax |
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Provider Business Mailing Address
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Address Line | 747 WYNNEWOOD RD
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3820
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Country | US
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Telephone | 267-506-5936
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Fax | 267-506-5936
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. MARCE Y GARBETT- RINGGOLD
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Credential | MHS,MS
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Telephone | 267-506-5936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 |
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License Number State |
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Taxonomy #3
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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 #4
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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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