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General NPI Number Information
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NPI Number | 1437130705
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Entity Type | Organization
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Legal Business Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 1503 LANSDOWNE AVENUE SUITE 2000
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1900
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Country | US
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Telephone | 610-237-3646
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Fax | 610-237-4261
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Provider Business Mailing Address
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Address Line | 1 W ELM ST SUITE 100
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-4108
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Country | US
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Telephone | 610-567-6967
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Fax | 610-567-6170
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Authorized Official
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Title or Position | V.P. FINANCE
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Name | PHYLLIS HILKER
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Credential |
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Telephone | 610-567-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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