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General NPI Number Information
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NPI Number | 1447072905
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Entity Type | Organization
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Legal Business Name | METHODIST ASSOCIATES HEALTHCARE, INC.
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1300 WOLF ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-2912
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Country | US
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Telephone | 215-952-9500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 828937
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8937
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Country | US
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Telephone | 215-503-1240
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Fax | 215-503-3319
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Authorized Official
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Title or Position | DIRECTOR OF PAYER ENROLLMENT
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Name | MRS. VALERIE YVETTE BRIGHT-BUTLER
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Credential |
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Telephone | 215-955-9451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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