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NPI 1336039346

NPI 1336039346 : KAREEM'S MISSION AUTISM CLINIC LLC : ENOLA, PA

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General NPI Number Information
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    NPI Number           |    1336039346
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAREEM'S MISSION AUTISM CLINIC LLC 
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Dates
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    Enumeration Date     |    07/09/2025
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    600 VALLEY RD 
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    City                 |    ENOLA
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    State                |    PA
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    Zip                  |    17025-1669
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    Country              |    US
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    Telephone            |    717-512-0043
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 VALLEY RD 
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    City                 |    ENOLA
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    State                |    PA
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    Zip                  |    17025-1669
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    Country              |    US
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    Telephone            |    717-512-0043
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     HAGIR  ELSHEIKH 
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    Credential           |    
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    Telephone            |    717-379-1964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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