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General NPI Number Information
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NPI Number | 1497943799
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Entity Type | Organization
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Legal Business Name | IMANI EDUCATION CIRCLE CHARTER SCHOOL
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 5612 GREENE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-2808
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Country | US
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Telephone | 215-713-9240
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Fax | 215-713-9286
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Provider Business Mailing Address
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Address Line | 5612 GREENE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-2808
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Country | US
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Telephone | 215-713-9240
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Fax | 215-713-9286
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Authorized Official
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Title or Position | CEO
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Name | DR. FRANCINE FULOTON
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Credential | PH.D
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Telephone | 215-713-9240
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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 |
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