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NPI 1225778467

NPI 1225778467 : ANDREW G KAHN : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1225778467
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW G KAHN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/29/2022
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    Last Update Date     |    03/29/2022
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Provider Practice Location Address
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    Address Line         |    3400 SPRUCE ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-4238
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    Country              |    US
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    Telephone            |    215-662-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    344 SUMMERWALK CIR 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27517-8671
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    Country              |    US
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    Telephone            |    571-594-2837
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    Fax                  |    
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    PENDING
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    License Number State |    PA
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