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General NPI Number Information
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NPI Number | 1548379993
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Entity Type | Organization
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Legal Business Name | UNIV OF PENN - HYPERBARIC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 3620 HAMILTON WALK 1 JOHN MORGAN BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4215
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Country | US
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Telephone | 215-898-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 HAMILTON WALK 1 JOHN MORGAN BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4215
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Country | US
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Telephone | 215-898-9095
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIZABETH JOHNSTON
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Credential |
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Telephone | 215-662-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State | PA
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