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General NPI Number Information
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NPI Number | 1790998375
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Entity Type | Organization
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Legal Business Name | TEMPLE UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 61 JUSTICE DR
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City | NEWTOWN
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State | PA
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Zip | 18940-1106
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Country | US
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Telephone | 215-579-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 N BROAD ST SUITE 752
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City | PHILA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone | 215-707-5914
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. THERESA SMIGO
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Credential | CRNP, MSN
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Telephone | 215-707-5914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | TP006435C
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License Number State | PA
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