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General NPI Number Information
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NPI Number | 1134468135
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Entity Type | Organization
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Legal Business Name | HIGHPOINT OBGYN
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 1500 HORIZON DR SUITE 115
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City | CHALFONT
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State | PA
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Zip | 18914-4100
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Country | US
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Telephone | 215-997-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 HORIZON DR SUITE 115
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City | CHALFONT
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State | PA
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Zip | 18914-4100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DAVID TANNEBAUM
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Credential |
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Telephone | 215-368-6009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD050694L
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License Number State | PA
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