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General NPI Number Information
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NPI Number | 1770550089
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Entity Type | Organization
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Legal Business Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3509 N BROAD ST TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER
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City | PHILADELPHIA
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State | PA
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Zip | 19140
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Country | US
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Telephone | 215-707-6606
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Fax | 215-707-6629
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Provider Business Mailing Address
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Address Line | PO BOX 820890 TEMPLE PEDIATRIC EMERGENCY MEDICAL ASSOCIATES
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0890
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Country | US
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Telephone | 800-666-2455
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Fax | 610-617-6280
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ROBERT GREGORY FLOOD
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Credential | MD
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Telephone | 215-707-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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