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General NPI Number Information
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NPI Number | 1730973991
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Entity Type | Organization
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Legal Business Name | ALIVE FAMILY SERVICES OF PHILADELPHIA
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 100 N 18TH ST # 30
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City | PHILADELPHIA
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State | PA
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Zip | 19103-2707
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Country | US
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Telephone | 267-710-5740
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LOGAN SQ STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19103-2733
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Country | US
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Telephone | 786-617-9798
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VINCENT J PINDER
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Credential | MSW
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Telephone | 267-710-5740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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