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General NPI Number Information
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NPI Number | 1740293232
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Entity Type | Organization
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Legal Business Name | UNIV OF PENN COMMUNITY RADIOLOGY
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 999 OLD EAGLE SCHOOL RD
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City | WAYNE
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State | PA
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Zip | 19087-1707
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Country | US
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Telephone | 215-702-3100
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Fax | 215-702-3105
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Provider Business Mailing Address
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Address Line | 3624 MARKET ST SUITE 560W
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2614
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Country | US
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Telephone | 215-662-3958
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Fax | 215-615-0500
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIZABETH JOHNSTON
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Credential |
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Telephone | 215-662-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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