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General NPI Number Information
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NPI Number | 1306882709
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Entity Type | Organization
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Legal Business Name | WISSAHICKON HOSPICE OF UPHS
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 150 MONUMENT RD STE 600
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1701
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Country | US
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Telephone | 610-617-2400
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Fax | 610-617-2438
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Provider Business Mailing Address
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Address Line | 150 MONUMENT RD STE 600
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1701
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Country | US
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Telephone | 610-617-2400
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Fax | 610-617-2438
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DAVID ALEXANDER
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Credential |
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Telephone | 484-431-3556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 720305
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License Number State | PA
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