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General NPI Number Information
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NPI Number | 1023048717
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Entity Type | Organization
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Legal Business Name | TENET HEALTHSYSTEM GRADUATE, LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 1800 LOMBARD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-8400
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Country | US
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Telephone | 215-893-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 828120
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8120
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Country | US
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Telephone | 215-255-3152
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Fax | 215-893-2302
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Authorized Official
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Title or Position | VP OF GOVT PROGRAMS, TENET
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Name | MR. CRAIG C. ARMIN
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Credential |
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Telephone | 818-436-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 073001
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License Number State | PA
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