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General NPI Number Information
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NPI Number | 1700223559
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Entity Type | Organization
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Legal Business Name | SHRINERS HOSPITALS FOR CHILDREN
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 1900 RICHMOND RD
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City | LEXINGTON
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State | KY
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Zip | 40502-1204
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Country | US
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Telephone | 859-266-2101
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Fax | 859-268-5636
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Provider Business Mailing Address
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Address Line | PO BOX 8500 LOCKBOX #7642
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City | PHILADELPHIA
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State | PA
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Zip | 19178-7642
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Country | US
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Telephone | 859-266-2101
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Fax | 859-268-5636
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANTHONY 'TONY' LEWGOOD
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Credential |
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Telephone | 859-268-5630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 100116
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License Number State | KY
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