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General NPI Number Information
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NPI Number | 1902261324
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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 | 12/30/2015
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 3500 CIVIC CENTER BLVD FL 12
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4395
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Country | US
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Telephone | 215-590-5043
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Fax | 267-426-2455
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD
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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 | 215-590-5043
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Fax | 267-426-2455
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Authorized Official
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Title or Position | VP REV CYCLE & REIM STRATEGY
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Name | ED BLEACHER
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Credential |
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Telephone | 267-426-6179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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