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General NPI Number Information
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NPI Number | 1417268863
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Entity Type | Individual
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Provider Name | ARADHANA S. ISHWAR D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 145 S BRINTON LAKE RD FIRST FLOOR
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City | GLEN MILLS
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State | PA
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Zip | 19342-2281
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Country | US
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Telephone | 610-459-1619
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Fax | 610-459-1865
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Provider Business Mailing Address
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Address Line | 145 S BRINTON LAKE RD FIRST FLOOR
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City | GLEN MILLS
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State | PA
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Zip | 19342-2281
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Country | US
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Telephone | 610-459-1619
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Fax | 610-459-1865
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OT013661
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS015803
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License Number State | PA
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