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General NPI Number Information
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NPI Number | 1316431240
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Entity Type | Organization
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Legal Business Name | INDEPENDENT GERIATRIC PROFESSIONALS
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 902 JACKSONVILLE RD
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City | BURLINGTON
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State | NJ
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Zip | 08016-3858
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Country | US
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Telephone | 609-239-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 326 PALTON RD
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City | BENSALEM
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State | PA
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Zip | 19020-1644
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LUZ RAMOS-BONNER
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Credential |
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Telephone | 267-237-4280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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