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General NPI Number Information
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NPI Number | 1114923067
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Entity Type | Individual
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Provider Name | ERIC MILES EGELMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 825 OLD LANCASTER RD STE 140200
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City | BRYN MAWR
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State | PA
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Zip | 19010-3231
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Country | US
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Telephone | 610-922-2100
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Fax | 610-520-2091
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 520
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4414
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Country | US
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Telephone | 267-297-2455
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Fax | 267-339-3761
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC003223L
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License Number State | PA
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