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General NPI Number Information
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NPI Number | 1487865036
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Entity Type | Organization
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Legal Business Name | HOSPITAL OF UNIVERSITY OF PENNSYLVANIA
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILA
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State | PA
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Zip | 19104-4206
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Country | US
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Telephone | 215-349-5150
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Fax | 215-615-0432
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Provider Business Mailing Address
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Address Line | 3101 MARKET ST SUITE 160
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2807
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Country | US
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Telephone | 215-349-5150
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Fax | 215-615-0432
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Authorized Official
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Title or Position | ASST VICE PRESIDENT FINANCE
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Name | MR. THOMAS MCCORMICK
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Credential |
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Telephone | 215-662-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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