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General NPI Number Information
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NPI Number | 1285986828
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Entity Type | Organization
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Legal Business Name | YOUNG SCHOLARS FREDERICK DOUGLASS CHARTER SCHOOL
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 2118 W NORRIS ST.
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City | PHILADELPHIA
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State | PA
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Zip | 19121
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Country | US
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Telephone | 215-684-5063
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 W NORRIS ST.
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City | PHIALDELPHIA
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State | PA
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Zip | 19121
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Country | US
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Telephone | 215-684-5063
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT SUPPORT
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Name | MEGAN SCELFO
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Credential | M.ED.
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Telephone | 267-443-0679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 126518547
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License Number State | PA
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