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General NPI Number Information
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NPI Number | 1083628820
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Entity Type | Organization
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Legal Business Name | HUNTINGDON VALLEY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2352 PHILMONT AVE
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6228
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Country | US
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Telephone | 215-947-1470
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Fax | 215-947-0904
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Provider Business Mailing Address
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Address Line | 2352 PHILMONT AVE
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6228
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Country | US
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Telephone | 215-947-1470
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Fax | 215-947-0904
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY WARREN COHEN
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Credential | M.D.
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Telephone | 215-947-1470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD026348E
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License Number State | PA
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