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General NPI Number Information
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NPI Number | 1629158803
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF PHILADELPHIA
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 100 MANOR DR
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City | CHALFONT
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State | PA
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Zip | 18914-1308
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Country | US
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Telephone | 215-822-7700
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Fax | 215-822-2296
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | FABIAN STONE
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Credential |
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Telephone | 267-425-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | PA
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