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General NPI Number Information
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NPI Number | 1679043152
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Entity Type | Organization
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Legal Business Name | PREVENTION POINT PHILADELPHIA
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2913-15 KENSINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-3016
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Country | US
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Telephone | 609-505-9287
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60990
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City | PHILADELPHIA
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State | PA
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Zip | 19133-0990
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Country | US
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Telephone | 215-589-5555
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Fax | 215-634-5271
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Authorized Official
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Title or Position | INTERIM LEAD EXECUTIVE OFFICIER
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Name | SILVANA MAZZELLA
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Credential |
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Telephone | 215-975-5419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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