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General NPI Number Information
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NPI Number | 1902460322
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Entity Type | Individual
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Provider Name | KENDRA HYPOLITE LSW
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Gender | Female
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 1500 WALNUT ST STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3502
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Country | US
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Telephone | 215-545-5402
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N 17TH ST APT 1006
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City | PHILADELPHIA
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State | PA
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Zip | 19103-2667
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Country | US
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Telephone | 917-913-7368
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW133661
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License Number State | PA
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