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General NPI Number Information
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NPI Number | 1629076609
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Entity Type | Organization
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Legal Business Name | PHOENIXVILLE ORTHOPEDIC ASSOCIATES, PC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 400 MAIN ST
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3810
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Country | US
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Telephone | 610-935-5507
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Fax |
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Provider Business Mailing Address
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Address Line | 400 MAIN ST
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3810
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Country | US
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Telephone | 610-935-5507
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN JOSEPH PELL
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Credential | MD
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Telephone | 610-935-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | NONE
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License Number State | PA
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