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General NPI Number Information
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NPI Number | 1265446983
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Entity Type | Organization
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Legal Business Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 148 N 8TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2418
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Country | US
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Telephone | 215-777-5808
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Fax | 215-777-5825
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Provider Business Mailing Address
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Address Line | 148 NORTH 8TH STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19182-7282
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Country | US
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Telephone | 215-777-5808
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Fax | 215-777-5825
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Authorized Official
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Title or Position | SR VICE DEAN
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Name | MR. RODERICK B. JONES
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Credential |
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Telephone | 215-777-5732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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