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NPI 1366596199

NPI 1366596199 : PHILADELPHIA HEALTH MANAGEMENT CORPORATION : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1366596199
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHILADELPHIA HEALTH MANAGEMENT CORPORATION 
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Dates
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    Enumeration Date     |    01/22/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1300 E TULPEHOCKEN ST PHMC NURSING CENTER
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19138-1523
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    Country              |    US
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    Telephone            |    215-548-7850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    260 S BROAD ST 18TH FLOOR
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19102-5021
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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    |    PRESIDENT
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    Name                 |    DR. RICHARD  COHEN 
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    Credential           |    PHD
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    Telephone            |    215-985-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0050X
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    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
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    License Number       |    100001664 0006
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    License Number State |    PA
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