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General NPI Number Information
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NPI Number | 1265584577
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Entity Type | Organization
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Legal Business Name | TASKER HEALTHCARE GROUP PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 910 E. WILLOW GROVE AVENUE
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City | WYNDMOOR
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State | PA
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Zip | 19038
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Country | US
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Telephone | 215-836-7212
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Fax | 215-836-7715
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Provider Business Mailing Address
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Address Line | 910 E. WILLOW GROVE AVENUE
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City | WYNDMOOR
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State | PA
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Zip | 19038
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Country | US
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Telephone | 215-836-7212
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Fax | 215-836-7715
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Authorized Official
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Title or Position | OWNER/MD
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Name | TOBY SHAWE
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Credential | MD
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Telephone | 215-836-7818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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