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General NPI Number Information
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NPI Number | 1548805047
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Entity Type | Organization
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Legal Business Name | STC PEDIATRICS LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 500 YORK RD STE 250
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City | JENKINTOWN
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State | PA
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Zip | 19046-2870
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Country | US
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Telephone | 610-743-6049
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone | 610-743-6049
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Fax |
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Authorized Official
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Title or Position | SR VP FINANCIAL OPERATIONS
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Name | ROBERT EHINGER
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Credential |
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Telephone | 484-628-1324
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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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