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General NPI Number Information
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NPI Number | 1184326191
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Entity Type | Organization
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Legal Business Name | TEMPLE CENTER FOR POPULATION HEALTH, LLC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | TEMPLE CENTER FOR POPULATION HEALTH 3509 N BROAD ST, BOYER PAVILLION, FL 9
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City | PHILA
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State | PA
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Zip | 19140-4105
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Country | US
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Telephone | 215-707-7188
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Fax |
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Provider Business Mailing Address
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Address Line | TEMPLE CENTER FOR POPULATION HEALTH 3509 N BROAD ST, BOYER PAVILLION, FL 9
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City | PHILA
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State | PA
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Zip | 19140-4105
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Country | US
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Telephone | 215-707-7188
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. STEVEN R CARSON
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Credential | MHA, BSN, RN
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Telephone | 215-707-2771
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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 |
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License Number State |
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