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General NPI Number Information
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NPI Number | 1992746366
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 150 MONUMENT RD SUITE 300
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1725
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Country | US
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Telephone | 610-747-3400
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Fax | 610-747-3479
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Provider Business Mailing Address
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Address Line | 150 MONUMENT RD SUITE 300
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1725
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Country | US
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Telephone | 610-747-3400
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Fax | 610-747-3479
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Authorized Official
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Title or Position | CFO PENN HOME CARE & HOSPICE
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Name | MR. JAMES WEINSTEIN
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Credential |
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Telephone | 610-747-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 712505
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License Number State | PA
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