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General NPI Number Information
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NPI Number | 1497932479
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Entity Type | Organization
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Legal Business Name | ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 4301 RISING SUN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2719
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Country | US
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Telephone | 267-296-7220
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Fax | 215-324-1153
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Provider Business Mailing Address
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Address Line | 1900 N 9TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19122-2024
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Country | US
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Telephone | 267-296-7200
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Fax | 215-687-8954
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. NILDA RUIZ
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Credential |
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Telephone | 267-296-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 807241
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License Number State | PA
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