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General NPI Number Information
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NPI Number | 1730130501
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Entity Type | Organization
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Legal Business Name | GOOD NIGHT DIAGNOSTIC CENTER, INC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1331 E WYOMING AVE SUITE 3010
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3808
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Country | US
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Telephone | 267-716-8127
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Fax |
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Provider Business Mailing Address
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Address Line | 1331 E WYOMING AVE SUITE 3010
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3808
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Country | US
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Telephone | 267-716-8127
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAREN HARHI
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Credential | LPN
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Telephone | 267-716-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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