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General NPI Number Information
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NPI Number | 1306907761
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL MEDICAL SYSTEMS INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 1430 DEKALB ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3406
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Country | US
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Telephone | 610-292-0613
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Fax | 610-292-0883
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Provider Business Mailing Address
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Address Line | 1430 DEKALB ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3406
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Country | US
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Telephone | 610-292-0613
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Fax | 610-292-0883
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Authorized Official
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Title or Position | LAB - DIRECTOR
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Name | DR. GULAMNABI VAHORA
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Credential | M.D.PH.D
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Telephone | 610-292-0613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 022201
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License Number State | PA
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