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General NPI Number Information
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NPI Number | 1669942736
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA RONALD MCDONALD HOUSE INC
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 12/23/2018
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Provider Practice Location Address
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Address Line | 3925 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3110
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Country | US
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Telephone | 267-969-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3110
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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 | DIRECTOR OF FINANCE
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Name | LAUREEN MENDELERO
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Credential |
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Telephone | 267-969-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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