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General NPI Number Information
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NPI Number | 1760696215
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Entity Type | Organization
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Legal Business Name | ALBERT EINSTEIN MEDICAL CENTER
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 RACE ST # 717
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1072
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Country | US
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Telephone | 267-918-1964
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | A. SUSAN BERNINI
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Credential |
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Telephone | 215-456-7890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT187895
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License Number State | PA
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