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General NPI Number Information
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NPI Number | 1528170040
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Entity Type | Individual
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Provider Name | EUGENE EINHORN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3900 WOODLAND AVE VAMC, PATHOLOGY & LABORATORY MEDICINE (113)
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4551
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Country | US
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Telephone | 215-823-6301
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Fax | 215-823-4271
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Provider Business Mailing Address
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Address Line | 1634 EARLINGTON RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-2517
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Country | US
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Telephone | 610-446-9527
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Fax |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD19386
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License Number State | DC
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