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General NPI Number Information
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NPI Number | 1447795745
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED HOME & COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5548 BOYER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-2306
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Country | US
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Telephone | 215-626-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 325 CHESTNUT ST STE 876
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2614
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Country | US
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Telephone | 215-550-1793
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Fax | 215-405-8008
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KARMA WATSON
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Credential | MS. LBS, LPC
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Telephone | 215-550-1793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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