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General NPI Number Information
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NPI Number | 1306476924
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Entity Type | Organization
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Legal Business Name | TOWER HEALTH MEDICAL GROUP
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 8835 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2718
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Country | US
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Telephone | 484-628-7700
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Fax | 484-628-7766
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone | 484-628-1324
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Fax | 484-334-7026
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Authorized Official
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Title or Position | SR VP FINANCIAL OPERATIONS
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Name | ROBERT EHINGER
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Credential |
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Telephone | 484-628-1324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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