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General NPI Number Information
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NPI Number | 1255566402
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Entity Type | Organization
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Legal Business Name | SAFE MEADOW HEALTH CENTER
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 7042 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1722
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Country | US
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Telephone | 215-937-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 7042 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1722
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Country | US
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Telephone | 215-937-0700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BIYI OYEFULE
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Credential | M.D.
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Telephone | 215-937-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MD03439E
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License Number State | PA
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