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NPI Code Detail

MEDICARE: DAWN PHILIP

MEDICARE: DAWN PHILIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW020580PA

General Provider Information

NPI Number : 1699315689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN PHILIP
Provider Business Mailing Address
First Line : 1633 S 19TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-1438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HAMILTON ST STE 304
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-3863
Country : US
Telephone Number : 917-657-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2020
Last Update Date : 01/08/2020

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Directions to “ DAWN PHILIP ” Practice Location

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