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General NPI Number Information
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NPI Number | 1467589218
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Entity Type | Organization
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Legal Business Name | MAIN LINE HOSPITALS, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 130 S BRYN MAWR AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3121
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Country | US
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Telephone | 610-526-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 240 N RADNOR CHESTER RD
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City | RADNOR
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State | PA
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Zip | 19087-5170
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Country | US
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Telephone | 484-337-1814
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LEIGH EHRLICH
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Credential |
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Telephone | 484-337-2029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 280701
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License Number State | PA
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