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General NPI Number Information
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NPI Number | 1881726164
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA HOSPITAL ASSOCIATIONS
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 3001 WALNUT ST 4TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3414
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Country | US
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Telephone | 215-386-3556
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Fax | 267-295-1604
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Provider Business Mailing Address
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Address Line | 3001 WALNUT ST 4TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3414
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Country | US
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Telephone | 215-386-3556
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Fax | 267-295-1604
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. CARL GRAHAM
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Credential |
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Telephone | 215-386-3556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | PA
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