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General NPI Number Information
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NPI Number | 1114042496
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Entity Type | Individual
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Provider Name | AMY S. BARANOSKI MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1427 VINE ST 2ND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1031
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Country | US
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Telephone | 215-762-7824
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Fax | 215-762-5257
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Provider Business Mailing Address
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Address Line | 245 N 15TH ST STE 6104
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1101
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Country | US
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Telephone | 215-255-7822
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD427518
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD427518
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License Number State | PA
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