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General NPI Number Information
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NPI Number | 1922950963
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Entity Type | Individual
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Provider Name | NASSIR WEBB
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Gender | Male
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 7201 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3202
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Country | US
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Telephone | 610-628-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 302 STEEPLECHASE CT
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City | DEPTFORD
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State | NJ
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Zip | 08096-6808
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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 |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH006388
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License Number State | PA
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