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General NPI Number Information
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NPI Number | 1609832286
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Entity Type | Organization
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Legal Business Name | ALBERT EINSTEIN MEDICAL CENTER
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 1200 W TABOR RD
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City | PHILA
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State | PA
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Zip | 19141
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Country | US
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Telephone | 215-456-9020
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Fax | 215-456-9084
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVENUE STE 400
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City | PHILA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 215-456-7000
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Fax | 215-254-2599
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRANCINE BARGERON
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Credential |
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Telephone | 215-456-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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