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General NPI Number Information
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NPI Number | 1487313961
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Entity Type | Organization
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Legal Business Name | RICHARD CHAPPELLE RECOVERY CENTER
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 900 N BROAD ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1604
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Country | US
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Telephone | 215-765-6600
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Fax | 215-501-5644
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Provider Business Mailing Address
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Address Line | 900 N BROAD ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1604
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Country | US
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Telephone | 215-765-6600
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Fax | 215-501-5644
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | STEVEN SANDERS
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Credential | MBA
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Telephone | 267-239-6449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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