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General NPI Number Information
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NPI Number | 1184408254
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Entity Type | Organization
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Legal Business Name | ONCALL PHYSICIAN STAFFING, INC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 1555 BARDSEY DR.
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City | LOWER GWYNEDD
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State | PA
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Zip | 19002-1546
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Country | US
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Telephone | 866-438-6622
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Fax | 484-679-1195
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Provider Business Mailing Address
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Address Line | PO BOX 37635 PMB 49738
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City | PHILADELPHIA
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State | PA
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Zip | 19101-0635
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Country | US
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Telephone | 866-438-6622
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Fax | 484-679-1195
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Authorized Official
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Title or Position | CEO
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Name | SCOTT E SHAPIRO
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Credential | MD
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Telephone | 610-804-2705
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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 |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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