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General NPI Number Information
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NPI Number | 1205905064
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA PLASTIC SURGERY ASSOCIATES
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 601 WALNUT STREET SUITE 646W
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City | PHILADELPHIA
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State | PA
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Zip | 19106
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Country | US
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Telephone | 215-629-1866
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Fax | 215-629-3711
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Provider Business Mailing Address
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Address Line | 600 EAGLEVIEW BLVD STE 300
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City | EXTON
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State | PA
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Zip | 19341-1224
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Country | US
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Telephone | 610-280-6005
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Fax | 610-280-6008
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Authorized Official
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Title or Position | CEO
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Name | DR. HOWARD S. CAPLAN
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Credential | M.D..
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Telephone | 215-629-1866
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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 |
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License Number State |
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