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General NPI Number Information
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NPI Number | 1346872116
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Entity Type | Organization
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Legal Business Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 219 N BROAD ST 8TH FL
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1519
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Country | US
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Telephone | 215-762-5145
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Fax | 215-762-5467
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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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 | VP OF REVENUE INTEGRITY
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Name | CHARLES MICHAEL VALENTINO JR.
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Credential |
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Telephone | 484-628-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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