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General NPI Number Information
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NPI Number | 1912231242
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Entity Type | Organization
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Legal Business Name | INGLIS FOUNDATION
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 2600 BELMONT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2713
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Country | US
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Telephone | 215-878-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 BELMONT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DYANN ROTH
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Credential |
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Telephone | 215-581-0700
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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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