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General NPI Number Information
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NPI Number | 1922367986
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Entity Type | Organization
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Legal Business Name | RESOURCES FOR HUMAN DEVELPMENT, INC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 5201 OLD YORK ROAD SUITE 109
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City | PHILADELPHIA
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State | PA
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Zip | 19141-2985
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Country | US
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Telephone | 214-324-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 WISSAHICKON AVENUE SUITE 126
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City | PHILADELPHIA
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State | PA
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Zip | 19144-4248
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Country | US
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Telephone | 215-951-0300
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Fax | 877-386-3756
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Authorized Official
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Title or Position | CEO
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Name | MS. DYANN ROTH
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Credential |
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Telephone | 215-951-0300
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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 | 138730
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 138340
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 138730
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License Number State | PA
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