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General NPI Number Information
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NPI Number | 1235020801
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Entity Type | Organization
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Legal Business Name | YOUNG LADY BUTTERFLIES CORP
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2206 W CHELTENHAM AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1422
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Country | US
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Telephone | 267-285-3542
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Fax | 215-376-5012
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Provider Business Mailing Address
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Address Line | 2206 W CHELTENHAM AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1422
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Country | US
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Telephone | 267-285-3542
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Fax | 215-376-5012
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Authorized Official
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Title or Position | CEO
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Name | NOREEN LYONS
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Credential |
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Telephone | 267-838-6645
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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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