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General NPI Number Information
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NPI Number | 1902073463
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Entity Type | Organization
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Legal Business Name | ST CHRISTOPHER'S HOSPITAL FOR CHILDREN
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 3601 A ST
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1043
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Country | US
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Telephone | 215-427-6523
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 A ST
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City | PHILADELPHIA
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State | PA
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Zip | 19134-1043
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Country | US
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Telephone | 215-427-6523
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. BERNADETTE MANGAN
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Credential |
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Telephone | 215-427-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | SP002261N
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License Number State | PA
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