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General NPI Number Information
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NPI Number | 1508012691
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Entity Type | Organization
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Legal Business Name | TEMPLE PHYSICIANS INC
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 11000 ROOSEVELT BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3961
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Country | US
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Telephone | 215-291-3777
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Fax | 215-291-3776
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Provider Business Mailing Address
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Address Line | 3500 N BROAD ST RM 1A
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4106
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Country | US
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Telephone | 215-926-3777
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Fax | 215-926-3376
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Authorized Official
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Title or Position | DIRECTOR PAYER CREDENTIALING
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Name | WOODARD TONYA
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Credential |
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Telephone | 215-707-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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