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General NPI Number Information
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NPI Number | 1215641436
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Entity Type | Organization
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Legal Business Name | FOUNDATION IS KEY INC
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 5330 EUCLID ST
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City | PHILADELPHIA
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State | PA
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Zip | 19131-3211
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Country | US
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Telephone | 215-980-0459
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Fax |
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Provider Business Mailing Address
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Address Line | 744 SOUTH ST # 801
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2023
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Country | US
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Telephone | 215-980-0459
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. ZYIKIA IVERY
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Credential | MSW
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Telephone | 267-338-2217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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