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General NPI Number Information
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NPI Number | 1407261639
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Entity Type | Individual
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Provider Name | BENJAMIN ROSS SANFILIPPO-COHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 8200 FLOURTOWN AVENUE SUITE 2
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City | WYNDMOOR
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State | PA
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Zip | 19038-7969
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Country | US
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Telephone | 215-836-5100
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Fax | 215-836-6011
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Provider Business Mailing Address
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Address Line | 33 E CHESTNUT HILL AVE STE 201
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2713
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Country | US
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Telephone | 215-836-5100
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Fax | 215-836-6011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD468969
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License Number State | PA
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