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General NPI Number Information
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NPI Number | 1811105190
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Entity Type | Organization
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Legal Business Name | THOMAS JEFFERSON UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 111 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HOUSE STAFF AFFAIRS
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Name | DEBRA CIFELLI
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Credential |
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Telephone | 215-955-6610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MT188490
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License Number State | PA
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