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General NPI Number Information
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NPI Number | 1134324742
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Entity Type | Organization
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Legal Business Name | A&O TRANSPORT AND RECOVERY CO., INC.
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 3319 KENSINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1438
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Country | US
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Telephone | 215-778-2504
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Fax | 215-426-4437
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Provider Business Mailing Address
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Address Line | 7410 DUNGAN RD
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City | PHILADELPHIA
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State | PA
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Zip | 19111-3641
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Country | US
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Telephone | 215-778-2504
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Fax | 215-728-5912
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Authorized Official
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Title or Position | PRESIDENT, DIRECTOR
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Name | MR. LAWRENCE JOSEPH GALLAGHER JR.
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Credential | BA, CAC, CJAP
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Telephone | 215-778-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 807401
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License Number State | PA
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