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General NPI Number Information
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NPI Number | 1306287941
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Entity Type | Organization
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Legal Business Name | INTERCULTURAL FAMILY SERVICES INC.
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 2317 S 23RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-3329
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Country | US
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Telephone | 215-468-4673
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Fax | 215-468-4663
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Provider Business Mailing Address
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Address Line | 4225 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3014
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Country | US
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Telephone | 215-386-1298
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Fax |
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Authorized Official
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Title or Position | DIRECTOR BEHAVIORAL HEALTH
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Name | ANGELO ADSON
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Credential | MSS, MLSP, MBA, LCSW
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Telephone | 215-468-4673
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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 | CW015768
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License Number State | PA
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