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General NPI Number Information
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NPI Number | 1487662219
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH SASS D.O. FACOS
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 1113 EASTON RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1901
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Country | US
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Telephone | 215-830-5400
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Fax | 215-659-2655
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Provider Business Mailing Address
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Address Line | 868 HOSTMAN AVE
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City | WARMINSTER
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State | PA
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Zip | 18974-3058
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Country | US
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Telephone | 267-431-0878
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Fax | 888-435-2088
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | OS006544L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS006544L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS006544L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO1659
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License Number State | TN
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