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General NPI Number Information
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NPI Number | 1497516728
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Entity Type | Organization
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Legal Business Name | AWH PA PC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1615 LIMEKILN PIKE
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City | DRESHER
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State | PA
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Zip | 19025-1053
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Country | US
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Telephone | 267-201-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 LIMEKILN PIKE
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City | DRESHER
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State | PA
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Zip | 19025-1053
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Country | US
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Telephone | 267-201-8162
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TEAH PHILLIPS
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Credential |
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Telephone | 901-205-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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