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General NPI Number Information
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NPI Number | 1023267861
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Entity Type | Organization
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Legal Business Name | PA HOSPITAL OF THE UNIVERSITY OF PA HEALTH SYSTEM
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 800 SPRUCE ST HALL MERCER CMH/MRC
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-829-5268
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Fax | 215-829-8771
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Provider Business Mailing Address
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Address Line | 800 SPRUCE ST HALL MERCER CMH/MRC
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-829-5268
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Fax | 215-829-8771
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Authorized Official
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Title or Position | SUPERVISOR
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Name | ROSE FRITTICCI
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Credential |
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Telephone | 215-829-5268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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