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General NPI Number Information
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NPI Number | 1164637955
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Entity Type | Organization
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Legal Business Name | TABOR CHILDREN'S SERVICES INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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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 | 57 E ARMAT ST PHILADELPHIA
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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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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WILLIAM A HAUSSMANN
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Credential | MSW
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW002087E
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License Number State | PA
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