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General NPI Number Information
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NPI Number | 1316166515
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Entity Type | Organization
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Legal Business Name | FRIENDS HOSPICE PROJECT OF PHILADELPHIA
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 706 W GIRARD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1313
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Country | US
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Telephone | 215-925-6848
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Fax | 215-925-6846
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Provider Business Mailing Address
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Address Line | 706 W GIRARD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1313
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Country | US
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Telephone | 215-925-6848
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Fax | 215-925-6846
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TYLAANN BURGER
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Credential | RN
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Telephone | 215-925-6848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 16941601
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License Number State | PA
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