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General NPI Number Information
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NPI Number | 1356437420
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Entity Type | Organization
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Legal Business Name | DELAWARE COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 501 NORTH LANSDOWNE AVENUE
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City | DREXEL HILL
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State | PA
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Zip | 19026
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Country | US
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Telephone | 610-284-8100
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Fax | 610-619-7331
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Provider Business Mailing Address
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Address Line | 501 NORTH LANSDOWNE AVENUE
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City | DREXEL HILL
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State | PA
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Zip | 19026
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Country | US
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Telephone | 610-284-8100
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. PATRICK GAVIN
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Credential |
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Telephone | 610-338-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 041801
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License Number State | PA
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