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General NPI Number Information
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NPI Number | 1609882984
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Entity Type | Organization
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Legal Business Name | PIM ASSOCIATES PC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 709 S. FIFTH STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19147
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Country | US
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Telephone | 215-925-6633
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Fax | 215-925-7428
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Provider Business Mailing Address
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Address Line | 709 S. FIFTH STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19147
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Country | US
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Telephone | 215-925-6633
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Fax | 215-925-7428
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Authorized Official
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Title or Position | PARTNER/PHYSICIAN
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Name | RICHARD JAY LEAVITT
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Credential | DO
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Telephone | 215-535-5522
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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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