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NPI 1184954505

NPI 1184954505 : PHILLY PREGNANCY CENTER PC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1184954505
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHILLY PREGNANCY CENTER PC 
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Dates
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    Enumeration Date     |    01/07/2010
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    Last Update Date     |    01/07/2010
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Provider Practice Location Address
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    Address Line         |    210A N 9TH STREET
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19107-1847
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    Country              |    US
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    Telephone            |    215-627-2229
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    Fax                  |    215-627-2229
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Provider Business Mailing Address
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    Address Line         |    210A N 9TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19107-1847
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    Country              |    US
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    Telephone            |    215-627-2229
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    Fax                  |    215-627-2229
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. OSSIE GEIFMAN HOLTZMAN 
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    Credential           |    MD
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    Telephone            |    215-627-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    MD418934
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    License Number State |    PA
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