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General NPI Number Information
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NPI Number | 1245901438
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Entity Type | Organization
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Legal Business Name | TPPW. PC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 1502 W CHESTER PIKE STE 32
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City | WEST CHESTER
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State | PA
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Zip | 19382-7705
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Country | US
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Telephone | 484-381-0351
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Fax | 610-672-7174
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Provider Business Mailing Address
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Address Line | 1502 W CHESTER PIKE STE 32
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City | WEST CHESTER
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State | PA
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Zip | 19382-7705
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Country | US
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Telephone | 484-381-0351
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Fax | 610-672-7174
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADIL SHAKIR
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Credential | MD
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Telephone | 815-922-1650
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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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