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General NPI Number Information
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NPI Number | 1639655871
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Entity Type | Organization
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Legal Business Name | CENTER FOR PLASTIC COSMETIC AND HAND SURGERY PC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 127 CHURCH RD STE 100
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City | MARLTON
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State | NJ
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Zip | 08053-9402
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Country | US
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Telephone | 856-345-2240
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Fax | 609-784-0913
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Provider Business Mailing Address
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Address Line | 13 HORSESHOE DR
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3055
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Country | US
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Telephone | 215-880-0273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIA SPEARS
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Credential | MD
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Telephone | 215-880-0273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MD068309-L
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License Number State | PA
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