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General NPI Number Information
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NPI Number | 1215470828
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Entity Type | Organization
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Legal Business Name | TMS ASSOCIATES OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 385 LANCASTER AVE SUITE 206
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City | HAVERFORD
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State | PA
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Zip | 19041-1551
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Country | US
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Telephone | 610-726-1020
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Fax | 610-726-1335
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Provider Business Mailing Address
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Address Line | 385 LANCASTER AVE SUITE 206
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City | HAVERFORD
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State | PA
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Zip | 19041-1551
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Country | US
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Telephone | 610-726-1020
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Fax | 610-726-1335
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SUSAN ELIZABETH RUSHING
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Credential | MD
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Telephone | 610-726-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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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 |
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License Number State | PA
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