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General NPI Number Information
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NPI Number | 1376599902
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Entity Type | Organization
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Legal Business Name | GASTROINTESTINAL ASSOCIATES, INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1095 RYDAL RD SUITE 100
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City | RYDAL
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State | PA
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Zip | 19046-1711
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Country | US
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Telephone | 267-620-1100
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Fax | 215-572-1279
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Provider Business Mailing Address
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Address Line | 1095 RYDAL RD SUITE 100
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City | RYDAL
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State | PA
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Zip | 19046-1711
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Country | US
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Telephone | 267-620-1100
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Fax | 215-572-1279
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. HELEN P ROSENTHAL
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Credential | RN,CGRN
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Telephone | 267-620-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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