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General NPI Number Information
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NPI Number | 1306175559
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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 | 12/17/2009
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 950 PULASKI DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2802
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Country | US
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Telephone | 610-337-3232
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Fax | 610-337-0325
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Provider Business Mailing Address
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Address Line | 950 PULASKI DR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2802
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Country | US
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Telephone | 610-337-3232
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Fax | 610-337-0325
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Authorized Official
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Title or Position | CHIEF FINANCE OFFICE
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Name | MICHAEL CORBO
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Credential |
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Telephone | 215-567-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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