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General NPI Number Information
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NPI Number | 1265410047
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Entity Type | Organization
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Legal Business Name | MAGEE REHABILITATION HOSPITAL
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1513 RACE ST
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City | PHILA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 215-587-3129
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Fax | 215-587-9405
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Provider Business Mailing Address
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Address Line | PO BOX 780616
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City | PHILA
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State | PA
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Zip | 19178-0616
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Country | US
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Telephone | 215-587-3129
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Fax | 215-587-9405
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Authorized Official
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Title or Position | CFO
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Name | MR. STEPHEN V. DESTEFANO
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Credential |
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Telephone | 215-587-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 135301
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License Number State | PA
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