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General NPI Number Information
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NPI Number | 1821444209
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Entity Type | Organization
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Legal Business Name | FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1930 SOUTH BROAD STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19145
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Country | US
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Telephone | 484-342-4153
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Fax | 610-862-0614
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Provider Business Mailing Address
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Address Line | 350 W MAIN ST STE 101
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City | TRAPPE
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State | PA
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Zip | 19426-1989
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Country | US
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Telephone | 484-342-4153
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Fax | 610-862-0614
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Authorized Official
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Title or Position | NHA
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Name | JULIE BASCOU
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Credential |
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Telephone | 215-709-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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