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General NPI Number Information
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NPI Number | 1831370691
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Entity Type | Organization
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Legal Business Name | MEGAN MEDICAL CENTER AND PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 5901 N 6TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1304
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Country | US
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Telephone | 215-224-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 N 6TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1304
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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 OPERATIONS
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Name | JOE JEROME
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Credential |
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Telephone | 215-244-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | XXXXX
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License Number State | PA
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