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General NPI Number Information
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NPI Number | 1164633517
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Entity Type | Organization
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Legal Business Name | ALBERT EINSTEIN MEDICAL CENTER
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD LIFTER FIRST FLOOR,ROOM1615
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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 | 215-456-8261
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Fax |
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Provider Business Mailing Address
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Address Line | 25 WASHINGTON LN WYNCOTE HOUSE APT#338
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City | WYNCOTE
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State | PA
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Zip | 19095-1403
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Country | US
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Telephone | 215-601-3910
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Fax |
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Authorized Official
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Title or Position | COO
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Name | SUSAN BERNINI
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Credential |
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Telephone | 215-456-8261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT184731
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License Number State | PA
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