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General NPI Number Information
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NPI Number | 1619177961
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Entity Type | Organization
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Legal Business Name | NORTH PHILADELPHIA HEALTH SYSTEM
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 801 W GIRARD AVE
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City | PHILA
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State | PA
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Zip | 19122-4212
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Country | US
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Telephone | 215-787-2387
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Fax | 215-787-2115
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Provider Business Mailing Address
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Address Line | 801 W GIRARD AVE
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City | PHILA
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State | PA
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Zip | 19122-4212
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Country | US
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Telephone | 215-787-2387
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Fax | 215-787-2115
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. GEORGE J WALMSLEY III
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Credential |
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Telephone | 215-787-9001
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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 | 711301
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License Number State | PA
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