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General NPI Number Information
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NPI Number | 1659590123
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Entity Type | Organization
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Legal Business Name | PHOENIXVILLE HOSPITAL
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 275 ORCHARD RD
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City | PAOLI
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State | PA
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Zip | 19301-1115
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Country | US
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Telephone | 610-948-1620
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Fax |
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Provider Business Mailing Address
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Address Line | 275 ORCHARD RD
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City | PAOLI
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State | PA
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Zip | 19301-1115
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Country | US
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Telephone | 610-948-1620
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. STEPHEN M. TULLMAN
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Credential |
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Telephone | 610-933-1000
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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 | SL004264-L
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License Number State | PA
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