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General NPI Number Information
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NPI Number | 1114435856
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Entity Type | Organization
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Legal Business Name | EINSTEIN MEDICAL CENTER MONTGOMERY
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 676 DEKALB PIKE STE 100
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City | BLUE BELL
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State | PA
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Zip | 19422-1223
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Country | US
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Telephone | 610-233-3177
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 OLD YORK ROAD CORPORATE ACCOUNTING, F & O BUILDING, 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-254-3255
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Fax | 215-456-7377
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Authorized Official
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Title or Position | ASSOC VP OF FINANCE
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Name | WALTER GORDON WYATT
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Credential |
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Telephone | 215-254-3254
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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 |
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License Number State |
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