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General NPI Number Information
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NPI Number | 1437359528
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Entity Type | Organization
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Legal Business Name | RICHARD SKAROFF, M.D.
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 8001 ROOSEVELT BLVD SUITE 209
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City | PHILA
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State | PA
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Zip | 19152-3038
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Country | US
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Telephone | 215-543-9300
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Fax | 215-543-9313
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Provider Business Mailing Address
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Address Line | 8001 ROOSEVELT BLVD SUITE 209
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City | PHILA
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State | PA
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Zip | 19152-3038
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Country | US
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Telephone | 215-543-9300
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Fax | 215-543-9313
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Authorized Official
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Title or Position | M.D.
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Name | RICHARD M. SKAROFF
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Credential | M.D.
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Telephone | 215-543-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD027118E
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License Number State | PA
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