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General NPI Number Information
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NPI Number | 1528108297
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 39TH & MARKET STREETS PHI-2
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-662-9736
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Fax |
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Provider Business Mailing Address
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Address Line | 39TH & MARKET STREETS PHI-2
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-662-9736
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Fax |
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN/ELECTROPHYSIOLO
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Name | DR. JOHN BULLINGA
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Credential | M.D.
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Telephone | 215-612-9736
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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 | MA052840
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License Number State | PA
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