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General NPI Number Information
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NPI Number | 1891126488
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Entity Type | Organization
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Legal Business Name | CHILDRENS HOSPITAL OF PHILADELPHIA
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Dates
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Enumeration Date | 12/06/2013
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 550 S GODDARD BLVD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2931
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Country | US
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Telephone | 610-337-3232
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Fax | 610-337-0325
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD # A
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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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 REVENUE CYCLE
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Name | FABIAN STONE
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Credential |
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Telephone | 267-425-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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