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NPI 1568631430

NPI 1568631430 : RITTENHOUSE INTERNAL MEDICINE, PC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1568631430
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    Entity Type          |    Organization 
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    Legal Business Name  |    RITTENHOUSE INTERNAL MEDICINE, PC 
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Dates
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    Enumeration Date     |    02/26/2008
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    Last Update Date     |    08/26/2014
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Provider Practice Location Address
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    Address Line         |    1632 PINE ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-6711
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    Country              |    US
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    Telephone            |    215-630-4072
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1632 PINE ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-6711
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BRUCE  SALTZMAN 
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    Credential           |    MD
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    Telephone            |    215-630-4072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    FDGDFGDF
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    License Number State |    PA
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