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NPI 1225312168

NPI 1225312168 : ROBERT P. DUPREY JR. MD : BRYN MAWR, PA

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General NPI Number Information
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    NPI Number           |    1225312168
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT P. DUPREY JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2011
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    130 S BRYN MAWR AVE 
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    City                 |    BRYN MAWR
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    State                |    PA
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    Zip                  |    19010-3143
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    Country              |    US
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    Telephone            |    610-447-2000
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    Fax                  |    754-218-0821
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Provider Business Mailing Address
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    Address Line         |    8512 122ND AVE NE # 238 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98033-5831
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    Country              |    US
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    Telephone            |    267-476-5258
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    Fax                  |    754-218-0821
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    MT225576
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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       |    MD485975
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD70040443
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    License Number State |    WA
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