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General NPI Number Information
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NPI Number | 1437400686
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Entity Type | Organization
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Legal Business Name | COLLEGEVILLE PODIATRY ASSOCIATES LLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 12/06/2013
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Provider Practice Location Address
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Address Line | 500 W GERMANTOWN PIKE SUITE 1020
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1353
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Country | US
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Telephone | 866-528-8767
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Fax | 866-528-8767
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Provider Business Mailing Address
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Address Line | 924 MAIN ST
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City | HELLERTOWN
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State | PA
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Zip | 18055-1525
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Country | US
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Telephone | 610-838-7942
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. MAGGIE UMERES SOLIMEO
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Credential | DPM
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Telephone | 866-528-8767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006006
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License Number State | PA
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