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General NPI Number Information
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NPI Number | 1154667228
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Entity Type | Organization
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Legal Business Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES LTD
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 599 ARCOLA RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3954
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Country | US
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Telephone | 610-409-2754
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5228
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City | WEST CHESTER
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State | PA
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Zip | 19380-0405
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Country | US
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Telephone | 610-359-6571
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Fax | 610-359-1519
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY MALUMED
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Credential |
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Telephone | 610-521-9996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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