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General NPI Number Information
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NPI Number | 1457862443
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Entity Type | Organization
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Legal Business Name | METHODIST ASSOCIATES IN HEALTHCARE, INC
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 2130 SPRING GARDEN STREET 1ST FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3502
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Country | US
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Telephone | 215-955-9555
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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 |
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Authorized Official
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Title or Position | VP
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Name | HRISTOS RISTAS
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Credential |
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Telephone | 215-955-9298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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