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General NPI Number Information
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NPI Number | 1164967675
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Entity Type | Organization
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Legal Business Name | COMPCARE PC
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 4379 EASTON AVE SUITE 101
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City | BETHLEHEM
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State | PA
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Zip | 18020-1483
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Country | US
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Telephone | 610-625-1486
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Fax |
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Provider Business Mailing Address
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Address Line | 592 RACITE RD
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City | ALBURTIS
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State | PA
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Zip | 18011-9552
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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 | PRACTICE MANAGER
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Name | MRS. AYESHA ABBASI
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Credential |
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Telephone | 610-401-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD446748
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD433975
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License Number State | PA
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