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General NPI Number Information
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NPI Number | 1760512453
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Entity Type | Organization
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Legal Business Name | STUDENT HEALTH SERVICE, UNIVERSITY OF PENNSYLVANIA
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 399 S 34TH ST LOWER LEVEL, PENN TOWER
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4316
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Country | US
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Telephone | 215-349-8972
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Fax | 215-662-4985
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Provider Business Mailing Address
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Address Line | 399 S 34TH ST LOWER LEVEL, PENN TOWER
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4316
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Country | US
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Telephone | 215-349-8972
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Fax | 215-662-4985
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Authorized Official
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Title or Position | MEDICAL DIRECTOR, WOMEN'S HEALTH
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Name | DR. JANICE B. ASHER
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Credential | MD
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Telephone | 215-349-8972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD042088E
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License Number State | PA
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