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General NPI Number Information
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NPI Number | 1548977028
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Entity Type | Organization
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Legal Business Name | MERAKEY ALLOS
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 6379 CENTER DR
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City | NORFOLK
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State | VA
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Zip | 23502-4102
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Country | US
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Telephone | 215-836-3131
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Fax | 215-273-5975
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Provider Business Mailing Address
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Address Line | 620 GERMANTOWN PIKE
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444-1810
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Country | US
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Telephone | 215-836-3131
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Fax | 215-273-5975
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Authorized Official
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Title or Position | CORP SR DIRECTOR OF BUSINESS OPS
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Name | MR. NORMAN E TILSON JR.
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Credential |
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Telephone | 215-836-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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