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General NPI Number Information
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NPI Number | 1114927605
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Entity Type | Organization
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Legal Business Name | NEONATOLOGY ASSOCIATES
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1205 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1219
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Country | US
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Telephone | 215-710-5990
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Fax | 215-710-5801
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Provider Business Mailing Address
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Address Line | 1205 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1219
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Country | US
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Telephone | 215-710-5990
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Fax | 215-710-5801
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Authorized Official
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Title or Position | DIRECTING PHYSICIAN
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Name | PREM K MARLAPUDI
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Credential | MD
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Telephone | 215-710-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD039329E
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License Number State | PA
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