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General NPI Number Information
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NPI Number | 1619041563
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Entity Type | Organization
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Legal Business Name | CITIZEN'S ACTING TOGETHER CAN HELP, INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2401 PENROSE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19145-5350
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Country | US
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Telephone | 215-336-6926
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 LOMBARD STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19146
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Country | US
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Telephone | 215-735-7422
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Fax |
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MS. LOUISE PYATT
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Credential |
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Telephone | 215-725-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 123980
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License Number State | PA
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