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General NPI Number Information
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NPI Number | 1265926414
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Entity Type | Organization
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Legal Business Name | ANCHORED THERAPY, LLC
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1315 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5601
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Country | US
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Telephone | 267-289-1009
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 WALNUT ST STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AYBALA OZTURK
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Credential |
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Telephone | 267-289-1009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019802
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License Number State | PA
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