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General NPI Number Information
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NPI Number | 1154470862
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Entity Type | Organization
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Legal Business Name | HARESH & PRIYA PUNJABI MDPC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 2250 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 215-427-3343
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Fax | 215-427-0533
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Provider Business Mailing Address
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Address Line | 689 LONGVIEW DR
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-2221
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Country | US
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Telephone | 215-427-3343
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Fax | 215-322-4553
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Authorized Official
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Title or Position | PARTNER
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Name | PRIYA H PUNJABI
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Credential | MD
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Telephone | 215-427-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD038932L
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License Number State | PA
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