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General NPI Number Information
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NPI Number | 1548373574
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Entity Type | Organization
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Legal Business Name | QUALITY COMMUNITY HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 2300 W MASTER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-4739
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Country | US
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Telephone | 215-236-8289
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Fax | 215-236-3521
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Provider Business Mailing Address
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Address Line | 2501 W LEHIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19132-3207
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Country | US
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Telephone | 215-227-0300
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Fax | 215-227-0302
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. MARCELLA E. LINGHAM
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Credential | ED.D.
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Telephone | 215-227-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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