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General NPI Number Information
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NPI Number | 1225484090
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Entity Type | Organization
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Legal Business Name | TANDIGM CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 300 CONSHOHOCKEN STATE RD STE 260
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-3820
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Country | US
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Telephone | 215-568-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CONSHOHOCKEN STATE RD STE 260
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-3820
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Country | US
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Telephone | 215-568-4663
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF OPERATIONS
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Name | MICHAEL TERRENCE WERNER
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Credential |
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Telephone | 215-568-4678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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