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General NPI Number Information
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NPI Number | 1316461361
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Entity Type | Individual
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Provider Name | REBECCA ROSE FOSCOLO PA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 1601 WALNUT ST STE 514
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2903
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Country | US
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Telephone | 973-376-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ROSEDALE RD
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3524
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Country | US
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Telephone | 631-294-6611
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 021127
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MP00566000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MA060644
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License Number State | PA
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