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General NPI Number Information
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NPI Number | 1417137506
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Entity Type | Organization
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Legal Business Name | THE AFRITUDE INSTITUTE,LLC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 6649 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2251
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Country | US
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Telephone | 215-552-8900
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Fax | 215-552-8997
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Provider Business Mailing Address
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Address Line | 6011 BINGHAM ST B2
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City | PHILADELPHIA
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State | PA
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Zip | 19111-5776
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Country | US
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Telephone | 215-552-8900
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Fax | 215-552-8997
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNE MBETTE
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Credential | M.PSY; NCP; LPC
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Telephone | 215-552-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004425
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License Number State | PA
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