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General NPI Number Information
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NPI Number | 1497058390
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Entity Type | Organization
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Legal Business Name | URBAN HEALTH INITIATIVES, INC.
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 1408 S. BROAD STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4808
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Country | US
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Telephone | 215-755-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-4808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KOBIE WEST
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Credential |
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Telephone | 215-755-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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