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NPI 1376530469

NPI 1376530469 : INGLIS HOUSE : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1376530469
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    Entity Type          |    Organization 
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    Legal Business Name  |    INGLIS HOUSE 
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Dates
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    Enumeration Date     |    10/04/2005
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    Last Update Date     |    09/13/2022
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Provider Practice Location Address
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    Address Line         |    2600 BELMONT AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19131-2713
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    Country              |    US
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    Telephone            |    215-878-5600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2600 BELMONT AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19131-2713
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    Country              |    US
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    Telephone            |    215-878-5600
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP, CHIEF FINANCIAL OFFICER
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    Name                 |     CHRISTOPHER  BATHE 
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    Credential           |    
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    Telephone            |    215-581-0743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    090202
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    License Number State |    PA
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