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NPI 1225100894

NPI 1225100894 : FRANKLIN TOWNE CHS : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1225100894
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANKLIN TOWNE CHS 
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Dates
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    Enumeration Date     |    11/15/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    5301 TACONY ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19137-2307
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    Country              |    US
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    Telephone            |    215-289-5000
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    Fax                  |    215-992-0150
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Provider Business Mailing Address
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    Address Line         |    5301 TACONY ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19137-2307
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    Country              |    US
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    Telephone            |    215-289-5000
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    Fax                  |    215-992-0150
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Authorized Official
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    Title or Position    |    C.E.O.
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    Name                 |    MR. JOSEPH M VENDITTI 
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    Credential           |    
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    Telephone            |    215-289-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    PA
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