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General NPI Number Information
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NPI Number | 1053374843
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Entity Type | Organization
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Legal Business Name | WEST GROVE HOSPITAL CORPORATION
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1011 W BALTIMORE PIKE SUITE 112
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City | WEST GROVE
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State | PA
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Zip | 19390-9446
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Country | US
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Telephone | 610-869-1565
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Fax | 610-869-0156
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Provider Business Mailing Address
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Address Line | 1011 W BALTIMORE PIKE SUITE 112
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City | WEST GROVE
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State | PA
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Zip | 19390-9446
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Country | US
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Telephone | 610-869-1565
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Fax | 610-869-0156
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Authorized Official
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Title or Position | GROUP VP
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Name | GARY DOUGLAS NEWSOME
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Credential |
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Telephone | 615-465-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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