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General NPI Number Information
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NPI Number | 1487066619
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Entity Type | Organization
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Legal Business Name | CROZER COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 2600 W 9TH ST
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City | CHESTER
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State | PA
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Zip | 19013-2040
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Country | US
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Telephone | 302-482-5646
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 SOCIETY DR
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City | CLAYMONT
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State | DE
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Zip | 19703-1711
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INTENSIVE CASE MANAGER
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Name | TIMOTHY DEFILIPPIS
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Credential |
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Telephone | 302-482-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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