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General NPI Number Information
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NPI Number | 1437514361
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE INJURYCARE, P.C.
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Dates
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Enumeration Date | 12/18/2015
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 2318 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4455
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Country | US
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Telephone | 215-465-4000
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Fax | 215-465-4001
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Provider Business Mailing Address
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Address Line | 1880 LIPPINCOTT RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-7925
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Country | US
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Telephone | 215-681-1550
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Fax | 215-465-4001
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Authorized Official
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Title or Position | PRESIDENT AND SECRETARY
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Name | DR. JEFFREY H SORKIN
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Credential | D.C.
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Telephone | 215-681-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | DC005950L
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License Number State | PA
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