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General NPI Number Information
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NPI Number | 1447589254
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Entity Type | Organization
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Legal Business Name | TACONY ACADEMY CHARTER SCHOOL
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 1330 RHAWN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2802
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Country | US
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Telephone | 215-742-5100
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Fax | 215-742-5200
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Provider Business Mailing Address
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Address Line | 1330 RHAWN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19111
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Country | US
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Telephone | 215-742-5100
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Fax | 215-742-5200
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Authorized Official
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Title or Position | CEO
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Name | RENE J GARNER
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Credential |
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Telephone | 215-742-5100
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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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