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General NPI Number Information
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NPI Number | 1194309641
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Entity Type | Organization
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Legal Business Name | OSHUN FAMILY CENTER
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 1620 W SPARKS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1918
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Country | US
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Telephone | 267-808-2649
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 W SPARKS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1918
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Country | US
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Telephone | 267-808-2649
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SALEEMAH J MCNEIL
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Credential | MS, MFT
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Telephone | 267-808-2649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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