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General NPI Number Information
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NPI Number | 1639493729
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Entity Type | Organization
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Legal Business Name | ORIENTAL MEDICINE OF WEST CHESTER
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 239 E MARKET ST SUITE 101
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City | WEST CHESTER
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State | PA
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Zip | 19382-2739
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Country | US
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Telephone | 610-431-2008
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Fax | 610-431-2499
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Provider Business Mailing Address
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Address Line | 239 E MARKET ST SUITE 101
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City | WEST CHESTER
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State | PA
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Zip | 19382-2739
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Country | US
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Telephone | 610-431-2008
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Fax | 610-431-2499
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Authorized Official
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Title or Position | PARTNER
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Name | MR. GREGORY DELCOLLO
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Credential | DIPL.O.M., L. AC.
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Telephone | 610-431-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AK000828
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License Number State | PA
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