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General NPI Number Information
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NPI Number | 1043051212
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Entity Type | Organization
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Legal Business Name | NATURAL XPESSION
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 6117 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1627
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Country | US
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Telephone | 800-817-2943
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Fax | 267-360-9444
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Provider Business Mailing Address
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Address Line | 6117 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1627
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Country | US
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Telephone | 800-817-2943
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Fax | 267-360-9444
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Authorized Official
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Title or Position | OWNER
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Name | ALVIN KINGCADE
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Credential | PA
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Telephone | 215-237-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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