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General NPI Number Information
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NPI Number | 1386665073
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Entity Type | Organization
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Legal Business Name | JOSEPH M. BEDNAREK MDPC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 501 BATH RD SUITE 208
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City | BRISTOL
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State | PA
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Zip | 19007-3101
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Country | US
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Telephone | 215-781-9300
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Fax | 215-781-9359
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Provider Business Mailing Address
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Address Line | 2407 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-4402
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Country | US
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Telephone | 215-739-2121
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Fax | 215-739-5231
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH M BEDNAREK
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Credential | M.D.
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Telephone | 215-739-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD013626E
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License Number State | PA
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