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General NPI Number Information
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NPI Number | 1497912794
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Entity Type | Organization
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Legal Business Name | WEST PHILADELPHIA ACHIEVEMENT CHARTER SCHOOL
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 01/03/2018
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Provider Practice Location Address
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Address Line | 6701 CALLOWHILL ST
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3603
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Country | US
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Telephone | 215-476-6471
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Fax | 215-476-0431
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Provider Business Mailing Address
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Address Line | 6701 CALLOWHILL ST
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3603
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Country | US
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Telephone | 215-476-6471
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Fax | 215-476-0431
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Authorized Official
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Title or Position | CEO
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Name | MRS. STACY R GILL
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Credential | DO
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Telephone | 215-476-6471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | PA
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