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General NPI Number Information
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NPI Number | 1508724410
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Entity Type | Organization
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Legal Business Name | THE SHOSHANA PHILADELPHIA LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 20 SAINT ASAPHS RD
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2408
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Country | US
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Telephone | 267-660-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 239 4TH AVE STE 1401
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City | PITTSBURGH
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State | PA
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Zip | 15222-1715
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Country | US
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Telephone | 267-660-6661
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SPENCER ISEN
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Credential |
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Telephone | 267-660-6610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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