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General NPI Number Information
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NPI Number | 1619001286
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Entity Type | Organization
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Legal Business Name | HOSPITALITY HOUSE OUTPATIENT SERVICES
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 166 W LEHIGH AVE SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19133-3849
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Country | US
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Telephone | 215-427-3099
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Fax | 215-427-2380
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Provider Business Mailing Address
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Address Line | 166 W LEHIGH AVE SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19133-3849
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Country | US
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Telephone | 215-427-3099
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Fax | 215-427-2380
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSEPH SNOHA
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Credential |
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Telephone | 215-427-3099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 807272
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License Number State | PA
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