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General NPI Number Information
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NPI Number | 1255590469
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Entity Type | Organization
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Legal Business Name | GERMANTOWN SETTLEMENT OUTPATIENT WELLNESS COUNSELING CENTER
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 208 W CHELTEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19144-3803
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Country | US
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Telephone | 215-849-3104
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Fax | 215-843-2618
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Provider Business Mailing Address
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Address Line | 208 W CHELTEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19144-3803
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Country | US
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Telephone | 215-849-3104
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Fax | 215-843-2618
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. EMMA CUMMINGS-FREEMAN
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Credential |
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Telephone | 215-849-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 128600
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License Number State | PA
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