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General NPI Number Information
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NPI Number | 1538147889
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Entity Type | Organization
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Legal Business Name | A & E MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 415 CENTRE ST
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City | FREELAND
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State | PA
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Zip | 18224
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Country | US
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Telephone | 570-636-2232
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Fax | 570-636-0903
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Provider Business Mailing Address
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Address Line | 415 CENTRE ST
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City | FREELAND
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State | PA
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Zip | 18224
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Country | US
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Telephone | 570-636-5431
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Fax | 570-636-5431
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Authorized Official
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Title or Position | DOCTOR
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Name | ADRIAN SECHERESIU
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Credential | MD
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Telephone | 570-636-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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