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General NPI Number Information
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NPI Number | 1790284149
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 801 N 48TH ST STE 3
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City | PHILADELPHIA
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State | PA
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Zip | 19139-1854
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Country | US
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Telephone | 215-883-7095
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Fax | 267-592-4172
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Provider Business Mailing Address
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Address Line | 1500 MARKET STREET LM 500 WEST TOWER
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 267-765-2347
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR SHS
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Name | DINETTA ARMSTRONG
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Credential |
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Telephone | 215-985-2553
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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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