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General NPI Number Information
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NPI Number | 1689190746
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Entity Type | Organization
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Legal Business Name | WHY NOT PROSPER INC
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Dates
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Enumeration Date | 08/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 717 E CHELTEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1206
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Country | US
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Telephone | 610-716-1113
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Fax | 215-842-2360
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Provider Business Mailing Address
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Address Line | 717 E CHELTEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1206
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Country | US
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Telephone | 610-716-1113
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Fax | 215-842-2360
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | DR. MICHELLE ANNE SIMMONS
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Credential | DDIV
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Telephone | 610-716-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 807431
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License Number State | PA
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