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General NPI Number Information
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NPI Number | 1053320929
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY TREAS COURT HOUSE
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 1430 DEKALB ST MONTGOMERY COUNTY HEALTH DEPARTMENT
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City | NORRISTOWN
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State | PA
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Zip | 19404-0311
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Country | US
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Telephone | 610-278-5117
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Fax | 610-278-5167
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Provider Business Mailing Address
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Address Line | 1430 DEKALB ST PO BOX 311 MONTGOMERY COUNTY HEALTH DEPARTMENT
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City | NORRISTOWN
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State | PA
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Zip | 19404-0311
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Country | US
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Telephone | 610-278-5117
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Fax | 610-278-5167
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Authorized Official
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Title or Position | HEALTH DIRECTOR/MEDICAL DIRECTOR
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Name | DR. JOSEPH M DIMINO
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Credential | D.O.
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Telephone | 610-278-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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