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General NPI Number Information
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NPI Number | 1659451896
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Entity Type | Organization
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Legal Business Name | GERMANTOWN COMMUNITY HEALTH SVS
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 1 PENN BLVD GERMATOWN PHARMACY
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1476
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Country | US
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Telephone | 215-951-8030
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Fax | 215-951-8083
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Provider Business Mailing Address
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Address Line | 1 PENN BLVD GERMANTOWN PHARMACY
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City | PHILADELPHIA
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State | PA
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Zip | 19144-1476
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Country | US
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Telephone | 215-951-8030
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Fax | 215-951-8083
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Authorized Official
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Title or Position | VICE PRESIDENT HEALTHCARE SERVICES
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Name | BETH DUFFY
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Credential |
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Telephone | 215-456-6015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | HP418074L
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License Number State | PA
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