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General NPI Number Information
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NPI Number | 1437962065
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Entity Type | Organization
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Legal Business Name | REHEAL MENTAL HEALTH AND ADDICTION SERVICES
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 7101 SELLERS AVE
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City | UPPER DARBY
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State | PA
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Zip | 19082-2023
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Country | US
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Telephone | 215-869-5597
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Fax | 610-472-8395
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Provider Business Mailing Address
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Address Line | 7101 SELLERS AVE
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City | UPPER DARBY
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State | PA
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Zip | 19082-2023
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Country | US
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Telephone | 215-869-5597
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Fax | 610-472-8395
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Authorized Official
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Title or Position | OWNER
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Name | DAMMY SANOU-ADEKANMBI
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Credential |
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Telephone | 215-869-5597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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