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General NPI Number Information
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NPI Number | 1063625366
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Entity Type | Organization
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Legal Business Name | TEMPLE PHYSICIAN INC.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 1600 LONEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2935
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Country | US
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Telephone | 215-742-1166
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Fax | 215-745-1333
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Provider Business Mailing Address
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Address Line | PO BOX 820933
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0933
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Country | US
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Telephone | 215-926-9000
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Fax | 215-226-8285
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Authorized Official
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Title or Position | DIRECTOR
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Name | LYNNIE SAVERING
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Credential |
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Telephone | 215-926-9015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 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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