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General NPI Number Information
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NPI Number | 1235338476
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CARDIOLOGY ASSOC.
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 8120 NEW SECOND ST
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City | ELKINS PARK
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State | PA
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Zip | 19027-2719
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Country | US
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Telephone | 215-782-1303
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Fax | 215-782-8368
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Provider Business Mailing Address
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Address Line | 8120 NEW SECOND ST
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City | ELKINS PARK
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State | PA
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Zip | 19027-2719
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Country | US
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Telephone | 215-782-1303
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Fax | 215-782-8368
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID CHOMSKY
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Credential | MD
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Telephone | 215-782-1303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 027127L
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License Number State | PA
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