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General NPI Number Information
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NPI Number | 1417415258
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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 | 03/12/2019
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 833 CHESTNUT ST FRNT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4420
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Country | US
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Telephone | 215-955-5000
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Fax | 215-923-1089
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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 | VP
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Name | HRISTOS RISTAS
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Credential |
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Telephone | 215-955-9298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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