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General NPI Number Information
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NPI Number | 1437662772
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Entity Type | Organization
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Legal Business Name | ABSOLUTECARE OF PHILADELPHIA, LLC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1080 N DELAWARE AVE STE 800
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City | PHILADELPHIA
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State | PA
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Zip | 19125
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Country | US
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Telephone | 267-463-5800
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Fax | 215-586-6038
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Provider Business Mailing Address
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Address Line | 10175 LITTLE PATUXENT PKWY STE 800
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City | COLUMBIA
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State | MD
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Zip | 21044-3401
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Country | US
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Telephone | 667-400-0483
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, VICE PRESIDENT, TREASURE
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Name | DR. GREGORY P FOTI
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Credential | M.D.
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Telephone | 443-738-0225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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