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NPI 1194919605

NPI 1194919605 : DIANA ALAME MD : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1194919605
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    Entity Type          |    Individual 
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    Provider Name        |    DIANA ALAME MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2007
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    Last Update Date     |    10/25/2017
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Provider Practice Location Address
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    Address Line         |    132 S 10TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19107-5244
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    Country              |    US
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    Telephone            |    215-955-4337
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    Fax                  |    215-955-2604
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Provider Business Mailing Address
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    Address Line         |    132 S 10TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19107-5244
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    Country              |    US
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    Telephone            |    215-955-4337
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    Fax                  |    215-955-2604
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207ZP0105X
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    Taxonomy Name        |    Clinical Pathology/Laboratory Medicine Physician
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    License Number       |    251749
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    01065323A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    207ZP0105X
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    Taxonomy Name        |    Clinical Pathology/Laboratory Medicine Physician
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    License Number       |    MD462643
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    License Number State |    PA
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