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General NPI Number Information
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NPI Number | 1447271325
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Entity Type | Organization
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Legal Business Name | KILLION MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1015 CHESTNUT ST SUITE 1506
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4316
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Country | US
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Telephone | 215-503-2700
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Fax | 215-503-2702
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Provider Business Mailing Address
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Address Line | 1015 CHESTNUT ST SUITE 1506
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4316
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Country | US
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Telephone | 215-503-2700
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Fax | 215-503-2702
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW KILLION
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Credential | M.D.
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Telephone | 215-503-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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