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General NPI Number Information
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NPI Number | 1164357935
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Entity Type | Organization
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Legal Business Name | MOCHADRAKE SOLUTIONS LLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 5636 N 19TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1104
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Country | US
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Telephone | 835-235-7981
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Fax |
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Provider Business Mailing Address
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Address Line | 5636 N 19TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1104
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Country | US
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Telephone | 835-235-7981
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | DAVID BRATCHER
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Credential |
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Telephone | 267-309-5919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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