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General NPI Number Information
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NPI Number | 1093684961
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Entity Type | Organization
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Legal Business Name | CENTENNIAL CARE CONTINUUM
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1020 N DELAWARE AVE STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4334
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Country | US
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Telephone | 267-324-5347
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Fax | 215-982-1617
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Provider Business Mailing Address
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Address Line | 1020 N DELAWARE AVE STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4334
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Country | US
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Telephone | 267-324-5347
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Fax | 215-982-1617
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH DYMOWSKI
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Credential | PHARM D
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Telephone | 267-324-5347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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