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General NPI Number Information
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NPI Number | 1730197682
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Entity Type | Organization
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Legal Business Name | SIDNEY HILLMAN MEDICAL CENTER
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 2116 CHESTNUT ST 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4401
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Country | US
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Telephone | 215-568-4080
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Fax | 215-568-4088
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Provider Business Mailing Address
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Address Line | 2116 CHESTNUT ST 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4401
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Country | US
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Telephone | 215-568-4080
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Fax | 215-568-4088
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOHANNA HERNANDEZ
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Credential |
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Telephone | 215-568-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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