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General NPI Number Information
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NPI Number | 1619375458
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Entity Type | Organization
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Legal Business Name | URBAN AFFAIRS COALITION
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 2532 N BROAD ST ODAAT
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City | PHILADELPHIA
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State | PA
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Zip | 19132-4013
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Country | US
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Telephone | 215-226-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4131
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Country | US
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Telephone | 215-851-0110
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SHARMAIN MATLOCK-TURNER
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Credential |
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Telephone | 215-851-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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