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NPI 1578336772

NPI 1578336772 : FABRIC HEALTH INC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1578336772
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    Entity Type          |    Organization 
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    Legal Business Name  |    FABRIC HEALTH INC 
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Dates
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    Enumeration Date     |    10/31/2023
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    Last Update Date     |    12/19/2025
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Provider Practice Location Address
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    Address Line         |    2920 ROBERTS AVE STE 1110 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19129-1227
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    Country              |    US
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    Telephone            |    215-792-3453
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    Fax                  |    215-999-6685
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Provider Business Mailing Address
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    Address Line         |    1930 18TH ST NW STE B2 - PMB 2383
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20009-1797
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    Country              |    US
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    Telephone            |    215-792-3453
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    Fax                  |    215-999-6685
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Authorized Official
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    Title or Position    |    CO-FOUNDER
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    Name                 |     COURTNEY  BRAGG 
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    Credential           |    
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    Telephone            |    215-792-2185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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