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General NPI Number Information
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NPI Number | 1760576052
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF PHILADELPHIA
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 267-425-8888
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Fax | 215-590-0455
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Provider Business Mailing Address
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Address Line | PO BOX 785166
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City | PHILADELPHIA
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State | PA
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Zip | 19178-2033
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Country | US
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Telephone | 215-590-5288
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Fax | 215-590-1906
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Authorized Official
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Title or Position | DIRECTOR, RETAIL PHARMACY
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Name | NEIL S PATEL
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Credential | PHARMD
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Telephone | 215-590-5288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481628
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License Number State | PA
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