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General NPI Number Information
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NPI Number | 1053456079
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Entity Type | Organization
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Legal Business Name | ARIA HEALTH PHYSICIANS SERVICES - EMERGENCY MEDICINE
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 3998 RED LION RD EMERGENCY MEDICINE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-4963
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Fax | 215-612-4532
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Provider Business Mailing Address
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Address Line | PO BOX 825395
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5395
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Country | US
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Telephone | 215-807-8000
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Fax | 215-612-4532
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MARY M. FINN
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Credential |
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Telephone | 215-710-3757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | PA
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