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General NPI Number Information
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NPI Number | 1558544528
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACADEMY OF PHILADELPHIA CHARTER SCHOOL
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 1100 E ERIE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-5424
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Country | US
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Telephone | 215-533-6700
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Fax | 215-533-6722
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Provider Business Mailing Address
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Address Line | 1100 E ERIE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-5424
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Country | US
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Telephone | 215-533-6700
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Fax | 215-533-6722
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TRACI RAY-DURAN
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Credential |
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Telephone | 215-533-6700
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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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