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General NPI Number Information
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NPI Number | 1023026416
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL INDUSTRIAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 255 S 17TH ST SUITE 2001
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-546-7049
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Fax | 215-546-8646
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Provider Business Mailing Address
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Address Line | 255 S. 17TH STREET SUITE 2001
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-546-7049
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Fax | 215-546-8646
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Authorized Official
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Title or Position | CEO
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Name | DR. GREGORY ALLEN NELSON
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Credential | M.D.
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Telephone | 215-546-7049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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