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General NPI Number Information
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NPI Number | 1487064259
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Entity Type | Organization
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Legal Business Name | TEMPLE UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 215-707-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 821 MERCER ST
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City | GLOUCESTER CITY
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State | NJ
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Zip | 08030-1144
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Country | US
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Telephone | 412-251-9536
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Fax |
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Authorized Official
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Title or Position | STAFF NURSE
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Name | JESSICA L CHRISTNER-MONTANARO
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Credential | RN
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Telephone | 412-251-9536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN629249
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License Number State | PA
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