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General NPI Number Information
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NPI Number | 1053971960
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Entity Type | Organization
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Legal Business Name | BARIATRIC MEDICINE INSTITUTE
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 8 E MILL RD
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City | FLOURTOWN
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State | PA
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Zip | 19031-2027
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Country | US
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Telephone | 215-392-9911
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Fax | 714-276-2677
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Provider Business Mailing Address
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Address Line | 809 EASTON RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-2004
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Country | US
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Telephone | 215-392-9911
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Fax | 215-392-9913
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MARGARITA ELENA MCDONALD
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Credential | MD
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Telephone | 215-392-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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Taxonomy #4
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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