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General NPI Number Information
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NPI Number | 1568461150
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Entity Type | Organization
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Legal Business Name | WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY 840 WALNUT STREET, SUITE 700
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5109
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Country | US
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Telephone | 215-928-3100
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Fax | 215-928-3006
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Provider Business Mailing Address
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Address Line | WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY 840 WALNUT STREET, SUITE 700
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5109
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Country | US
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Telephone | 215-928-3100
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Fax | 215-928-3006
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH P BILSON
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Credential |
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Telephone | 215-440-3152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 261QA1903X
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License Number State | PA
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