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General NPI Number Information
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NPI Number | 1710104252
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Entity Type | Organization
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Legal Business Name | BETHANNA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2500 WHARTON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-3942
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Country | US
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Telephone | 215-355-6500
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Fax | 215-564-4740
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Provider Business Mailing Address
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Address Line | 1844 STREET RD
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4582
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Country | US
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Telephone | 215-355-6500
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Fax | 215-355-8617
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. KAREN HAMILTON
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Credential |
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Telephone | 215-355-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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