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General NPI Number Information
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NPI Number | 1164736948
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF PENNSYLVANIA
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 125 S 31ST ST SUITE 2000
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3413
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Country | US
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Telephone | 215-898-0226
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Fax | 215-494-5444
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Provider Business Mailing Address
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Address Line | 125 S 31ST ST SUITE 2000
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3413
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Country | US
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Telephone | 215-898-0226
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Fax | 215-494-5444
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Authorized Official
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Title or Position | INTERIM CHAIR AND PROFESSOR
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Name | DR. JOHN E TOMASZEWSKI
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Credential | MD
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Telephone | 215-615-6510
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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 | MD049539L
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License Number State | PA
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