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General NPI Number Information
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NPI Number | 1508672726
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Entity Type | Individual
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Provider Name | ISAAC KITCHING
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Gender | Male
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 100 S BROAD ST STE 2210
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1021
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Country | US
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Telephone | 912-531-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S BROAD ST STE 2210
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1021
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Country | US
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Telephone | 912-531-7024
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC001224
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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