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NPI 1396731188

NPI 1396731188 : METHODIST ASSOCIATES IN HEALTHCARE, INC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1396731188
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    Entity Type          |    Organization 
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    Legal Business Name  |    METHODIST ASSOCIATES IN HEALTHCARE, INC 
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Dates
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    Enumeration Date     |    09/27/2005
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    Last Update Date     |    10/13/2022
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Provider Practice Location Address
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    Address Line         |    2301 S BROAD ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19148-3542
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    Country              |    US
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    Telephone            |    215-952-9323
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    Fax                  |    218-952-1246
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Provider Business Mailing Address
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    Address Line         |    PO BOX 828937 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19182-8937
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    Country              |    US
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    Telephone            |    215-503-1240
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DEAN  STEINBERG 
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    Credential           |    MD
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    Telephone            |    215-952-9323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) 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        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    PA
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