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General NPI Number Information
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NPI Number | 1679085443
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Entity Type | Organization
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Legal Business Name | WARWICK FAMILY BASED PROGRAM INC
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 1001 NOR BATH BLVD
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City | NORTHAMPTON
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State | PA
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Zip | 18067-8909
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Country | US
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Telephone | 267-525-7000
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Fax | 267-525-7010
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Provider Business Mailing Address
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Address Line | 800 CLARMONT AVE STE B
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City | BENSALEM
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State | PA
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Zip | 19020-5705
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Country | US
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Telephone | 267-525-7000
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Fax | 267-525-7010
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS D GALVIN
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Credential |
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Telephone | 267-525-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 105120
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License Number State | PA
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