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General NPI Number Information
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NPI Number | 1699067256
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Entity Type | Organization
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Legal Business Name | TO OUR CHILDREN'S FUTURE WITH HEALTH INC.
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 4035 WEST POWELTON AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-222-2161
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Fax | 215-474-0451
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Provider Business Mailing Address
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Address Line | 1914 NORTH 63RD STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19151-3318
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Country | US
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Telephone | 215-879-7740
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Fax | 215-879-7743
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | DR. ROBIN L. FOSTER-DRAIN
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Credential | M.D., M.P.H.
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Telephone | 215-915-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015104
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD039729-L
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License Number State | PA
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