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General NPI Number Information
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NPI Number | 1679087944
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Entity Type | Organization
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Legal Business Name | A SERVICE COORDINATION
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Dates
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Enumeration Date | 11/25/2017
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Last Update Date | 11/25/2017
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Provider Practice Location Address
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Address Line | 101 SURREY RD
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City | ELKINS PARK
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State | PA
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Zip | 19027-2931
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Country | US
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Telephone | 267-974-6256
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SURREY RD
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City | ELKINS PARK
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State | PA
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Zip | 19027-2931
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Country | US
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Telephone | 267-974-6256
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAYA WILLIAMS
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Credential | DPT
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Telephone | 267-974-6256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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