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DEDICATED PENNSYLVANIA HOLDING LLC NPI 1841707965


NPI Information

NPI: 1841707965
Provider Name: DEDICATED PENNSYLVANIA HOLDING, LLC

Other Name: DEDICATED PENNSYLVANIA OLNEY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5675 N FRONT ST STE 141
PHILADELPHIA, PA
ZIP 19120
Phone: (305) 628-6117
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DEDICATED PENNSYLVANIA HOLDING, LLC is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DEDICATED PENNSYLVANIA HOLDING, LLC NPI is 1841707965. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dedicated Pennsylvania Olney.

The provider's business location address is:

5675 N FRONT ST STE 141
PHILADELPHIA, PA
ZIP 19120-719
Phone: (305) 628-6117

The provider's authorized official is Raymond Jimenez .
The authorized official title is Director Of Client Services and has the following contact phone number (305) 628-6117.

The enumeration date for this NPI number is 1/10/2018 and was last updated on 3/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RG0300XInternal MedicineGeriatric MedicineNo
5332900000XNon-Pharmacy Dispensing SiteNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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