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General NPI Number Information
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NPI Number | 1114809415
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Entity Type | Organization
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Legal Business Name | ESPERANZA HEALTH CENTER INC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 4417 N 6TH ST, FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2319
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Country | US
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Telephone | 215-329-2248
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Fax | 215-456-9059
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Provider Business Mailing Address
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Address Line | 4417 N 6TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2319
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Country | US
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Telephone | 215-329-2248
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Fax | 215-456-9059
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | CYNTHIA SUNG
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Credential |
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Telephone | 215-302-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 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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