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General NPI Number Information
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NPI Number | 1023347226
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S HOSPITAL OF PHILADELPHIA
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 34TH & CIVIC CENTER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 267-425-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 19 N GREEN ACRE DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1003
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Country | US
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Telephone | 267-425-4666
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. PHILOMENA MARY KONEN
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Credential | CRNP
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Telephone | 856-264-1858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | SP007605
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License Number State | PA
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