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General NPI Number Information
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NPI Number | 1265544456
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Entity Type | Organization
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Legal Business Name | DRESHER FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 830 TWINING ROAD SUITE 6
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City | DRESHER
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State | PA
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Zip | 19025
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Country | US
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Telephone | 215-628-3350
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Fax | 215-628-4137
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Provider Business Mailing Address
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Address Line | 830 TWINING RD SUITE #6
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City | DRESHER
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State | PA
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Zip | 19025
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Country | US
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Telephone | 215-628-3350
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Fax | 215-628-4137
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MARY LOU A LEWCUN
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Credential |
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Telephone | 215-628-3350
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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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