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General NPI Number Information
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NPI Number | 1467613885
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Entity Type | Organization
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Legal Business Name | SAFE MEADOW MEDICAL CENTER
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 7042 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1722
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Country | US
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Telephone | 215-937-0700
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Fax | 512-937-0164
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Provider Business Mailing Address
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Address Line | 7042 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1722
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Country | US
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Telephone | 215-937-0700
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Fax | 512-937-0164
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Authorized Official
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Title or Position | CEO
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Name | DR. BIYI KAYODE OYEFULE
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Credential | MD
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Telephone | 215-937-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MD034392E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MD034392E
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License Number State | PA
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