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General NPI Number Information
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NPI Number | 1831371152
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Entity Type | Organization
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Legal Business Name | FUTURA HEALTH SYSTEM
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 1300 CHESTNUT ST SUITE 305
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4513
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Country | US
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Telephone | 215-593-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 CHESTNUT ST SUITE 305
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4513
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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 | CEO
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Name | EDNAN SHEIKH
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Credential | MD
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Telephone | 215-593-5484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 0400160566
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License Number State | NJ
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