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General NPI Number Information
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NPI Number | 1083622286
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Entity Type | Organization
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Legal Business Name | ST MARY MEDICAL CENTER
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 3331 STREET RD STE 140
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City | BENSALEM
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State | PA
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Zip | 19020-2052
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Country | US
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Telephone | 215-245-8873
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Fax | 215-245-8895
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 734-343-2654
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Fax |
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Authorized Official
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Title or Position | VP, FINANCE AND CFO
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Name | JULIE KEESE
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Credential |
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Telephone | 301-754-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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