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General NPI Number Information
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NPI Number | 1932180205
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Entity Type | Organization
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Legal Business Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1503 LANSDOWNE AVE STE 2000
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City | DARBY
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State | PA
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Zip | 19023-1330
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Country | US
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Telephone | 610-237-2529
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Fax | 610-534-6107
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 106
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 734-343-2654
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Fax |
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Authorized Official
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Title or Position | VP, FINANCE AND CFO
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Name | KIMBERLY A CUMMINGS
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Credential |
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Telephone | 215-710-2508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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