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General NPI Number Information
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NPI Number | 1386467017
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Entity Type | Organization
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Legal Business Name | COMHAR INC.
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 100 S. BROAD STREET FLOOR 14
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1001
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Country | US
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Telephone | 215-569-8414
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W LEHIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19133-4097
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Country | US
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Telephone | 267-836-2854
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Fax |
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Authorized Official
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Title or Position | INTERIM CHIEF EXECUTIVE OFFICER
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Name | TRAPETA B MAYSON
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Credential |
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Telephone | 267-541-9204
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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 |
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License Number State |
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