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General NPI Number Information
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NPI Number | 1063487627
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Entity Type | Organization
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Legal Business Name | AMERICAN ACCESS CARE OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 7959 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-3320
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Country | US
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Telephone | 215-742-5662
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Fax | 215-742-5663
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Provider Business Mailing Address
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Address Line | PO BOX 416170
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City | BOSTON
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State | MA
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Zip | 02241-6170
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Country | US
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Telephone | 610-644-8900
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Fax | 484-924-0053
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. GREGG A MILLER
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Credential | MD
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Telephone | 610-644-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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