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General NPI Number Information
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NPI Number | 1346297686
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Entity Type | Individual
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Provider Name | EDWARD C FILIPPONE PA
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 908 W 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3894
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Country | US
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Telephone | 423-586-4231
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Fax | 865-291-3228
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Provider Business Mailing Address
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Address Line | PO BOX 634909
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City | CINCINNATI
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State | OH
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Zip | 45263-4909
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Country | US
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Telephone | 865-985-7234
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Fax | 865-985-7077
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 932
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License Number State | TN
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