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General NPI Number Information
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NPI Number | 1336773134
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Entity Type | Organization
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Legal Business Name | METHODIST ASSOCIATES IN HEALTHCARE, INC
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 3941 COMMERCE AVE
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1104
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Country | US
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Telephone | 215-481-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 828937
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8937
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Country | US
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Telephone | 215-503-1240
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Fax |
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Authorized Official
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Title or Position | VP
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Name | HRISTOS RISTAS
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Credential |
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Telephone | 215-955-9298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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