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General NPI Number Information
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NPI Number | 1033276076
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF THE MAIN LINE, PC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 414 PAOLI PIKE
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City | MALVERN
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State | PA
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Zip | 19355-3311
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Country | US
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Telephone | 484-596-5981
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19498
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City | BELFAST
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State | ME
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Zip | 04915-4089
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Country | US
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Telephone | 484-596-5981
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Fax | 484-596-4558
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID N HORWICH
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Credential | MD
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Telephone | 484-596-7860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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