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General NPI Number Information
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NPI Number | 1235209081
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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 | 11/09/2006
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 3000 HORIZON DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2626
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Country | US
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Telephone | 800-866-1242
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Fax | 610-992-1040
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Provider Business Mailing Address
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Address Line | 3000 HORIZON DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2626
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Country | US
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Telephone | 800-866-1242
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Fax | 610-992-1040
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Authorized Official
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Title or Position | SR. DIRECTOR HOME CARE
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Name | LORI CIARDI
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Credential | PHARM D
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Telephone | 267-425-9089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 748105
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License Number State | PA
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