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General NPI Number Information
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NPI Number | 1154339851
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Entity Type | Organization
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Legal Business Name | GREATER PHILA CANCER & HEMATOLOGY SPECIALISTS PC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 3998 RED LION RD SUITE 130
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 3998 RED LION RD SUITE 130
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-5250
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. ANNMARIE EDWARDS
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Credential |
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Telephone | 215-612-4837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | PA
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