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General NPI Number Information
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NPI Number | 1144226960
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Entity Type | Organization
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Legal Business Name | NAZARETH HOSPITAL
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 2601 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2007
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Country | US
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Telephone | 215-335-6000
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Fax | 215-335-6303
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Provider Business Mailing Address
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Address Line | 2601 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2007
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Country | US
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Telephone | 215-335-6000
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Fax | 215-335-6303
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER, VP FINANCE
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Name | MR. DAVID A. WAJDA
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Credential |
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Telephone | 215-335-6043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 400301
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License Number State | PA
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