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General NPI Number Information
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NPI Number | 1366279390
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Entity Type | Organization
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Legal Business Name | BRYN MAWR PERSONALIZED PRIMARY CARE
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 937 E HAVERFORD RD
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City | BRYN MAWR
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State | PA
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Zip | 19010-3800
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Country | US
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Telephone | 267-225-7152
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Fax | 610-998-7410
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Provider Business Mailing Address
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Address Line | 937 E HAVERFORD RD
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City | BRYN MAWR
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State | PA
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Zip | 19010-3800
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Country | US
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Telephone | 267-225-7152
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Fax | 610-998-7410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLISON OLER
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Credential | MD
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Telephone | 267-225-7152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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