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General NPI Number Information
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NPI Number | 1548414923
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Entity Type | Organization
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Legal Business Name | PUBLIC HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 1500 MARKET ST CENTRE SQUARE EAST
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 215-731-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 MARKET ST CENTRE SQUARE EAST
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | MS. SHANTE PENNINGTON
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Credential |
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Telephone | 215-731-2042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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