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NPI 1871064543

NPI 1871064543 : ABSOLUTECARE OF PHILADELPHIA, LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1871064543
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABSOLUTECARE OF PHILADELPHIA, LLC 
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Dates
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    Enumeration Date     |    12/06/2018
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    1080 N DELAWARE AVE STE 800 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19125-4338
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    Country              |    US
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    Telephone            |    267-463-5800
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    Fax                  |    215-586-6038
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Provider Business Mailing Address
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    Address Line         |    1080 N DELAWARE AVE STE 800
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19125-4330
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    Country              |    US
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    Telephone            |    267-463-5800
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    Fax                  |    215-586-6038
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GREGORY P. FOTI 
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    Credential           |    
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    Telephone            |    443-738-0225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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