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General NPI Number Information
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NPI Number | 1194988832
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF PHILADELPHIA
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 34TH AND CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-590-9182
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Fax | 215-590-1415
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Provider Business Mailing Address
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Address Line | 34TH AND CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-590-9182
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Fax | 215-590-1415
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. MAUREEN ELIZABETH MCCARTHY
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Credential | CRNP,MSN
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Telephone | 215-590-9182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | VP006113B
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License Number State | PA
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