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General NPI Number Information
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NPI Number | 1417222373
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY CHARTER HIGH SCHOOL
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 5201 OLD YORK RD LOGAN PLAZA - SUITE A
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City | PHILADELPHIA
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State | PA
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Zip | 19141-2985
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Country | US
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Telephone | 215-455-2550
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Fax | 215-455-5701
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Provider Business Mailing Address
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Address Line | 5201 OLD YORK RD LOGAN PLAZA - SUITE A
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City | PHILADELPHIA
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State | PA
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Zip | 19141-2985
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Country | US
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Telephone | 215-455-2550
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Fax | 215-455-5701
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | JOY HARRIS-MCGINLEY
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Credential |
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Telephone | 215-360-2384
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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 |
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License Number State | PA
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