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NPI 1134511157

NPI 1134511157 : ROXBOROUGH MEDICAL OF ANDORRA LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1134511157
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROXBOROUGH MEDICAL OF ANDORRA LLC 
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Dates
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    Enumeration Date     |    02/27/2015
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    Last Update Date     |    11/23/2025
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Provider Practice Location Address
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    Address Line         |    8500 HENRY AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19128-2111
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    Country              |    US
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    Telephone            |    267-766-6321
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    Fax                  |    267-766-6322
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Provider Business Mailing Address
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    Address Line         |    5800 RIDGE AVENUE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19128-2111
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    Country              |    US
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    Telephone            |    215-487-4244
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    Fax                  |    215-487-4274
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. DARSHAN  PAREKH 
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    Credential           |    
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    Telephone            |    215-487-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    PA
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