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General NPI Number Information
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NPI Number | 1770463101
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Entity Type | Organization
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Legal Business Name | SPECTRUM HEALTH SERVICES INC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2300 W MASTER ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19121-4996
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Country | US
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Telephone | 215-471-2761
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Fax | 215-472-6093
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Provider Business Mailing Address
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Address Line | 5201 HAVERFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19139-1401
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Country | US
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Telephone | 215-471-2761
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | VERONICA HILL-MILBOURNE
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Credential |
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Telephone | 215-471-1267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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