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General NPI Number Information
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NPI Number | 1689769705
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Entity Type | Organization
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Legal Business Name | CHILDRENS HEALTH CARE ASSOCIATES, INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
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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 | 215-590-1000
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Fax | 267-425-9200
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Provider Business Mailing Address
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Address Line | 100 E PENN SQ FL 9 CHILDREN'S HEALTHCARE ASSOCIATES
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3323
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Country | US
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Telephone | 215-590-1000
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Fax | 267-425-9299
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Authorized Official
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Title or Position | ENROLLMENT MANAGER
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Name | CHERISH FLOWERS
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Credential |
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Telephone | 267-425-9408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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