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General NPI Number Information
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NPI Number | 1700728680
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Entity Type | Organization
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Legal Business Name | FAIR HILL COMMUNITY PHYSICIANS
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 1300 W LEHIGH AVENUE SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19132-2760
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Country | US
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Telephone | 215-707-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E LEHIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1012
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Country | US
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Telephone | 267-264-4669
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Fax | 215-707-0071
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DAVID DEMILIO
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Credential |
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Telephone | 267-264-4669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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