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General NPI Number Information
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NPI Number | 1124216924
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Entity Type | Organization
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Legal Business Name | HARRIETS INNERWEAR
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Dates
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Enumeration Date | 10/06/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 1725 E PASSYUNK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19148-1517
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Country | US
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Telephone | 215-468-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 E PASSYUNK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19148-1517
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Country | US
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Telephone | 215-468-5100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA SHAPIRO
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Credential |
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Telephone | 215-468-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number |
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License Number State |
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