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General NPI Number Information
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NPI Number | 1184168858
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Entity Type | Organization
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Legal Business Name | DREXEL UNIVERSITY
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 1601 CHERRY ST SUITE 11498
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1320
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Country | US
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Telephone | 215-266-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 CHERRY ST SUITE 11498
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1320
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Country | US
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Telephone | 215-266-7312
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Fax |
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Authorized Official
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Title or Position | RN CASE MANAGER
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Name | DEBORAH ANNE OEHRLE
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Credential | RN
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Telephone | 215-266-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 592400
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License Number State | PA
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