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General NPI Number Information
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NPI Number | 1225004039
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCIATES OF DELAWARE COUNTY INC
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER BLVD PROF OFF BLDG # 2 SUITE 220
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City | CHESTER
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-876-1551
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Fax | 610-876-1828
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER BLVD PROF OFF BLDG # 2 SUITE 220
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City | CHESTER
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State | PA
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Zip | 19013-3902
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Country | US
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Telephone | 610-876-1551
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Fax | 610-876-1828
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STUART S BARISH
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Credential | MD
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Telephone | 610-876-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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