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NPI 1386790640

NPI 1386790640 : MERLE BARI, M.D. AND ASSOCIATES : GLADWYNE, PA

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General NPI Number Information
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    NPI Number           |    1386790640
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    Entity Type          |    Organization 
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    Legal Business Name  |    MERLE BARI, M.D. AND ASSOCIATES 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    11/21/2007
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Provider Practice Location Address
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    Address Line         |    944 MERION SQUARE RD 
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    City                 |    GLADWYNE
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    State                |    PA
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    Zip                  |    19035-1510
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    Country              |    US
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    Telephone            |    610-649-5001
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    944 MERION SQUARE RD 
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    City                 |    GLADWYNE
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    State                |    PA
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    Zip                  |    19035-1510
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MERLE  BARI 
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    Credential           |    M.D.
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    Telephone            |    610-649-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    MD03988E
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    License Number State |    PA
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