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General NPI Number Information
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NPI Number | 1841380367
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF PHILADELPHIA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 722 YORKLYN RD STE 100 STONE MILL OFFICE PARK.
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City | HOCKESSIN
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State | DE
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Zip | 19707-8746
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Country | US
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Telephone | 302-235-1188
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Fax | 302-239-2604
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Provider Business Mailing Address
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Address Line | 301 LINDENWOOD DR SUITE 350
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City | MALVERN
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State | PA
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Zip | 19355-1758
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Country | US
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Telephone | 215-590-2897
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Fax | 215-590-0325
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Authorized Official
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Title or Position | VP FINANCE
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Name | THOMAS TODOROW
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Credential |
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Telephone | 267-426-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | DE
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