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General NPI Number Information
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NPI Number | 1720590227
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA CRISIS RESPONSE CENTER, LLC
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 3300 HENRY AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19129
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Country | US
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Telephone | 215-878-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VP & SECRETARY
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Name | CHRISTOPHER L HOWARD
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Credential |
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Telephone | 615-861-6000
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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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