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General NPI Number Information
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NPI Number | 1114988250
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY GASTROENTEROLOGY ASSOCIATES MD PA
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 406 LIPPINCOTT DR SUITE E
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City | MARLTON
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State | NJ
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Zip | 08053-4168
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Country | US
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Telephone | 856-983-1900
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Fax | 856-983-5110
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Provider Business Mailing Address
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Address Line | 406 LIPPINCOTT DR SUITE E
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City | MARLTON
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State | NJ
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Zip | 08053-4168
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Country | US
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Telephone | 856-983-1900
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Fax | 856-983-5110
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. JANE S FRIEHLING
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Credential | D.O.
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Telephone | 856-983-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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