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General NPI Number Information
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NPI Number | 1174728802
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 800 SPRUCE ST 10TH FLOOR, SPRUCE BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-829-7290
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Fax | 215-829-5430
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Provider Business Mailing Address
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Address Line | 800 SPRUCE ST 10TH FLOOR, SPRUCE BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-829-7290
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Fax | 215-829-5430
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | SCOTT ALAN BRENMAN
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Credential | M.D.
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Telephone | 215-829-7290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD028290E
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License Number State | PA
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