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General NPI Number Information
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NPI Number | 1144476490
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Entity Type | Organization
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Legal Business Name | THOMAS JEFFERSON UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 111 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 220 LOCUST ST APARTMENT 6E
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3935
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. LEVON NAZARIAN
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Credential |
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Telephone | 215-955-4557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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