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General NPI Number Information
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NPI Number | 1053453282
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 515 E LANCASTER AVE SUITE B MEDICAL BLDG.
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City | ST DAVIDS
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State | PA
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Zip | 19087-5101
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Country | US
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Telephone | 215-351-5500
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Fax | 215-351-5595
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Provider Business Mailing Address
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Address Line | 1144 LOCUST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6734
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Country | US
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Telephone | 215-351-5500
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Fax | 215-351-5595
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Authorized Official
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Title or Position | CFO
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Name | VERA BAILEY
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Credential |
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Telephone | 215-351-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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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 | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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