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General NPI Number Information
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NPI Number | 1609098201
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Entity Type | Organization
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Legal Business Name | CLARKE PENNSYLVANIA, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 5414 OVERBROOK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131
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Country | US
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Telephone | 267-930-5094
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Fax | 215-844-5401
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Provider Business Mailing Address
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Address Line | 5414 OVERBROOK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131
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Country | US
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Telephone | 267-930-5094
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Fax | 215-844-5401
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANNE MALARICK
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Credential |
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Telephone | 267-930-5094
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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 | 325230001
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 326510169
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License Number State | PA
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