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General NPI Number Information
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NPI Number | 1932651593
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Entity Type | Organization
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Legal Business Name | WES HEALTH SYSTEM
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 1127 FOULKROD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-2928
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Country | US
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Telephone | 267-290-6909
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Fax |
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Provider Business Mailing Address
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Address Line | 2514 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-4013
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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 | PROGRAM DIRECTOR
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Name | REBECCA VLAM
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Credential | LCSW
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Telephone | 215-226-7200
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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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