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General NPI Number Information
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NPI Number | 1548722002
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Entity Type | Organization
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Legal Business Name | JEFFERSON ACUTE CARE PHYSICIANS, PC
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 2451 GRANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1031
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Country | US
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Telephone | 215-934-3471
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Fax | 215-934-3472
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Provider Business Mailing Address
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Address Line | PO BOX 828937
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8937
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Country | US
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Telephone | 215-503-1240
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Fax | 215-934-3472
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | JUDD HOLLANDER
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Credential | MD
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Telephone | 215-934-3471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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