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General NPI Number Information
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NPI Number | 1508309550
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Entity Type | Individual
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Provider Name | SETH AUERBACH MBA
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Gender | Male
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 230 W WASHINGTON SQ 5TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3585
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Country | US
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Telephone | 215-829-6955
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Fax | 215-829-6899
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Provider Business Mailing Address
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Address Line | 424 N WHITE HORSE PIKE
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City | MAGNOLIA
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State | NJ
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Zip | 08049-1405
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Country | US
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Telephone | 856-240-5001
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Fax | 856-854-5204
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0075846
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 0075846
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License Number State | NJ
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