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General NPI Number Information
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NPI Number | 1295706422
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 1800 LOMBARD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-8400
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Country | US
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Telephone | 215-893-7246
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Fax | 215-893-7246
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Provider Business Mailing Address
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Address Line | 1500 MARKET ST UPPER MEZZANINE 600
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 215-762-0630
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Fax | 215-762-0630
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Authorized Official
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Title or Position | AVP OF FINANCE
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Name | MR. THOMAS MCCORMICK JR.
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Credential |
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Telephone | 215-762-0630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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