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General NPI Number Information
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NPI Number | 1821180902
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Entity Type | Organization
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Legal Business Name | THOMAS JEFFERSON UNIVERSITY HOSPITALS INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 833 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4414
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Country | US
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Telephone | 215-955-4400
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Fax | 215-503-1580
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4414
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Country | US
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Telephone | 215-955-4400
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Fax | 215-503-1580
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | BONNIE B GAZDA
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Credential | RPH
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Telephone | 215-955-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP413888L
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License Number State | PA
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