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General NPI Number Information
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NPI Number | 1649569286
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Entity Type | Organization
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Legal Business Name | ST LUKES HOSPITAL
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 763 N RINGGOLD ST APT A
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2509
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Country | US
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Telephone | 609-827-1373
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Fax |
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Provider Business Mailing Address
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Address Line | 763 N RINGGOLD ST APT A
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2509
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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 | EMERGENCY MEDICINE RESIDENT
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Name | EVAMARIE GUERRIERI
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Credential | D.O.
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Telephone | 609-827-1373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | PA
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