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General NPI Number Information
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NPI Number | 1275493652
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Entity Type | Organization
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Legal Business Name | PROJECT HOME
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 115 E HUNTINGDON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1038
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Country | US
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Telephone | 215-422-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 FAIRMOUNT AVE # 241
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2962
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Country | US
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Telephone | 215-422-3671
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Fax | 215-422-3671
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Authorized Official
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Title or Position | VP SUPPORTIVE HOUSING
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Name | JOY MARTIN
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Credential |
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Telephone | 215-422-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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