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General NPI Number Information
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NPI Number | 1588048458
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF ADVANCED MEDICINE AND SURGERY
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 5735 RIDGE AVE SUITE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1745
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Country | US
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Telephone | 215-310-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 5735 RIDGE AVE SUUITE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1745
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Country | US
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Telephone | 215-310-8087
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | DR. NEIL ANAND
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Credential | MD
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Telephone | 215-310-8087
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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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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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