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General NPI Number Information
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NPI Number | 1598503617
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Entity Type | Organization
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Legal Business Name | ST FRANCIS XAVIER PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 07/15/2024
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 21 N MACDADE BLVD
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City | GLENOLDEN
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State | PA
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Zip | 19036-1301
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Country | US
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Telephone | 484-326-5392
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Fax | 304-853-5130
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Provider Business Mailing Address
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Address Line | 21 N MACDADE BLVD
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City | GLENOLDEN
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State | PA
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Zip | 19036-1301
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Country | US
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Telephone | 484-326-5392
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Fax | 304-853-5130
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRANCIS E OKAFOR
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Credential |
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Telephone | 484-557-8325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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