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General NPI Number Information
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NPI Number | 1700976925
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Entity Type | Organization
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Legal Business Name | TJU HOSPITALS, INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 111 S 11TH ST GIBBON BLDG SUITE 1850
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-8845
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Fax | 215-955-1711
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Provider Business Mailing Address
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Address Line | 111 S 11TH ST GIBBON BLDG SUITE 1850
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-8845
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Fax | 215-955-1711
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MRS. LORRAINE MCCANEY
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Credential | RPH
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Telephone | 215-955-8845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP413308L
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License Number State | PA
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