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General NPI Number Information
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NPI Number | 1316938483
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Entity Type | Organization
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Legal Business Name | EAST NORRITON PHYSICIANS SERVICES
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 2705 DEKALB PIKE SUITE 309
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City | NORRISTOWN
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State | PA
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Zip | 19401-1852
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Country | US
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Telephone | 610-277-6131
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Fax | 610-277-4966
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Provider Business Mailing Address
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Address Line | 1 W ELM ST SUITE 100
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2007
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Country | US
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Telephone | 610-567-6967
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Fax | 610-567-6170
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Authorized Official
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Title or Position | CFO
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Name | PETER KENNIFF
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Credential |
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Telephone | 610-567-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology 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 | 213E00000X
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Taxonomy Name | Podiatrist
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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