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General NPI Number Information
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NPI Number | 1689700551
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Entity Type | Organization
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Legal Business Name | MEN & WOMEN FOR HUMAN EXCELLENCE, INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 2603 CECIL B MOORE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19121-2826
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Country | US
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Telephone | 215-769-7045
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Fax | 215-769-7046
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Provider Business Mailing Address
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Address Line | 2603 CECIL B MOORE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19121-2826
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Country | US
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Telephone | 215-769-7045
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Fax | 215-769-7046
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. KEITH NAVARRO JOHNSON
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Credential | MSW
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Telephone | 215-769-7045
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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 |
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License Number State | PA
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