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General NPI Number Information
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NPI Number | 1003176488
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 1205 LANGHRN NWTWN RD STE 310
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-710-5711
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Fax | 215-710-5925
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 300
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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 | 201-710-5522
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Fax | 215-710-5181
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Authorized Official
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Title or Position | ADMIN DIR OF FINANCIAL SERVICES
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Name | SHARON PROFERA
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Credential |
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Telephone | 215-710-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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