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General NPI Number Information
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NPI Number | 1578007795
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Entity Type | Individual
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Provider Name | RHONDA HILL-SHARIF
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Gender | Female
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 2932 N TAYLOR ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-1911
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Country | US
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Telephone | 267-228-1905
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Fax | 215-430-0878
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Provider Business Mailing Address
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Address Line | 916 LONGVIEW RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3733
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Country | US
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Telephone | 267-228-1905
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Fax | 215-430-0878
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | CER-00103177
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License Number State | PA
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