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General NPI Number Information
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NPI Number | 1548332836
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Entity Type | Organization
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Legal Business Name | READING CONVENIENT CARE INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 3535 N 5TH STREET HWY READING CONVENIENT CARE
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City | READING
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State | PA
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Zip | 19605
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Country | US
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Telephone | 610-939-1532
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Fax | 610-939-1535
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Provider Business Mailing Address
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Address Line | 3535 N 5TH STREET HWY
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City | READING
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State | PA
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Zip | 19605
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Country | US
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Telephone | 610-939-1532
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Fax | 610-939-1535
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Authorized Official
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Title or Position | DIRECTOR
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Name | GIRI BABU MANNEPULI
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Credential | MD
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Telephone | 610-939-1532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD062948L
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License Number State | PA
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