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General NPI Number Information
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NPI Number | 1609962240
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Entity Type | Organization
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Legal Business Name | LOUIS F D'AMELIO
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 40 FULD STREET SUITE 303
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City | TRENTON
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State | NJ
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Zip | 08638
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Country | US
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Telephone | 609-396-2600
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Fax | 609-396-3600
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Provider Business Mailing Address
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Address Line | PO BOX 8500-7211
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0001
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Country | US
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Telephone | 609-396-2600
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Fax | 609-396-3600
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Authorized Official
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Title or Position | DIRECTOR
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Name | LOUIS D'AMELIO
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Credential | MD
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Telephone | 609-396-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MA54893
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License Number State | NJ
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