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General NPI Number Information
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NPI Number | 1497876619
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Entity Type | Organization
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Legal Business Name | BRANDYWINE CARDIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1011 W BALTIMORE PIKE
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City | WEST GROVE
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State | PA
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Zip | 19390-9446
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Country | US
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Telephone | 610-869-1279
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 828424
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City | PHILADELPHIA
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State | PA
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Zip | 19182-8424
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Country | US
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Telephone | 610-941-3300
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | HEIDI MARIE NEUBECK
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Credential |
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Telephone | 610-941-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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