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General NPI Number Information
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NPI Number | 1982035366
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Entity Type | Organization
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Legal Business Name | PROJECT HOME
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1401 ARCH ST SUBCONCOURSE LEVEL
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1525
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Country | US
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Telephone | 215-223-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 FAIRMOUNT AVE STE 241
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2962
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Country | US
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Telephone | 215-232-7229
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Fax |
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Authorized Official
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Title or Position | CFO/EVP
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Name | KEVIN NOEL
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Credential |
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Telephone | 215-309-5286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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