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General NPI Number Information
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NPI Number | 1437396579
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA HAND CENTER LTD
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 101 S BRYN MAWR AVE STE 300
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City | BRYN MAWR
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State | PA
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Zip | 19010-3120
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Country | US
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Telephone | 610-525-1000
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Fax | 610-525-1001
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Provider Business Mailing Address
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Address Line | 101 S BRYN MAWR AVE STE 300
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City | BRYN MAWR
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State | PA
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Zip | 19010-3120
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Country | US
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Telephone | 610-525-1000
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Fax | 610-525-1001
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARWAN A WEHBE
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Credential | M.D.
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Telephone | 610-525-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD039101L
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License Number State | PA
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