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General NPI Number Information
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NPI Number | 1336110287
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Entity Type | Organization
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Legal Business Name | WEST GROVE HOSPITAL COMPANY LLC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 1015 W BALTIMORE PIKE
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City | WEST GROVE
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State | PA
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Zip | 19390-9459
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Country | US
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Telephone | 610-869-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 503773
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City | SAINT LOUIS
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State | MO
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Zip | 63150-3773
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VP, GROUP OPERATIONS
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Name | GARY NEWSOME
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Credential |
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Telephone | 888-373-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 291501
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License Number State | PA
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