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General NPI Number Information
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NPI Number | 1720618705
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Entity Type | Organization
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Legal Business Name | AMEL COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 01/18/2020
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Last Update Date | 01/18/2020
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Provider Practice Location Address
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Address Line | 8419 GERMANTOWN AVE STE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3325
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Country | US
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Telephone | 215-882-9840
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Fax |
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Provider Business Mailing Address
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Address Line | 56 W DUVAL ST
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1904
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Country | US
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Telephone | 443-851-8258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY DONNIELLE WHEELER POITEVIEN
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Credential | MSW
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Telephone | 215-882-9840
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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 |
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License Number State |
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