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General NPI Number Information
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NPI Number | 1760517205
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Entity Type | Organization
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Legal Business Name | EMAN COMMUNITY LIVING INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 820 E VERNON RD FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1519
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Country | US
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Telephone | 215-849-3377
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Fax | 215-848-6267
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Provider Business Mailing Address
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Address Line | 820 E VERNON RD FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1519
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Country | US
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Telephone | 215-849-3377
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Fax | 215-848-6267
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. RAJ DESAI
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Credential | BS
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Telephone | 215-849-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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