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General NPI Number Information
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NPI Number | 1538211552
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Entity Type | Organization
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Legal Business Name | EINSTEIN PRACTICE PLAN, INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 5401 OLD YORK RD KLEIN 363
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3030
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Country | US
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Telephone | 215-456-8216
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Fax | 215-455-1933
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVE SUITE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2421
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Country | US
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Telephone | 215-456-7000
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Fax | 215-254-2599
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRANCINE BARGERON
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Credential |
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Telephone | 215-456-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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