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General NPI Number Information
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NPI Number | 1427471168
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Entity Type | Organization
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Legal Business Name | NEW PATH MD INC
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 8001 ROOSEVELT BLVD SUITE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19152-3038
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Country | US
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Telephone | 484-483-2745
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Fax | 484-879-4098
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Provider Business Mailing Address
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Address Line | 80 W WELSH POOL RD SUITE 101S
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City | EXTON
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State | PA
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Zip | 19341-1233
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Country | US
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Telephone | 484-483-2745
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Fax | 484-879-4098
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Authorized Official
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Title or Position | OWNER
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Name | MARCUS WILLIAMS
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Credential | MD
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Telephone | 484-483-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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