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General NPI Number Information
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NPI Number | 1619929775
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF DREXEL HILL, INC.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 510 WEST DARBY ROAD 2ND FLOOR
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City | HAVERTOWN
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State | PA
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Zip | 19083
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Country | US
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Telephone | 610-789-6320
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Fax | 610-789-6325
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Provider Business Mailing Address
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Address Line | 100 W SPROUL RD STE 224
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2033
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Country | US
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Telephone | 610-789-6320
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Fax | 484-471-3917
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | PATRICIA HOFFMAN
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Credential |
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Telephone | 267-736-4850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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