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NPI 1457214017

NPI 1457214017 : SHILOH FAMILY SERVICES LLC. : NORRISTOWN, PA

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General NPI Number Information
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    NPI Number           |    1457214017
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHILOH FAMILY SERVICES LLC. 
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Dates
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    Enumeration Date     |    12/09/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    713 CARMAN DR 
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    City                 |    NORRISTOWN
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    State                |    PA
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    Zip                  |    19401-3545
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    Country              |    US
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    Telephone            |    610-803-6570
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    Fax                  |    610-803-6570
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Provider Business Mailing Address
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    Address Line         |    713 CARMEN DR 
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    City                 |    NORRISTOWN
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    State                |    PA
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    Zip                  |    19401-3545
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    Country              |    US
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    Telephone            |    610-803-6570
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    Fax                  |    215-543-4556
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. OLADIPUPO REMI FAKIYESI 
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    Credential           |    
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    Telephone            |    610-803-6570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TM1800X
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    Taxonomy Name        |    Intellectual & Developmental Disabilities Psychologist
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    License Number       |    
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    License Number State |    
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