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NPI 1639663883

NPI 1639663883 : ADRIAN TABUENA ESTEPA MD : BRYN MAWR, PA

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General NPI Number Information
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    NPI Number           |    1639663883
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIAN TABUENA ESTEPA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/20/2018
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    Last Update Date     |    08/09/2025
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Provider Practice Location Address
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    Address Line         |    825 OLD LANCASTER RD STE 350 
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    City                 |    BRYN MAWR
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    State                |    PA
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    Zip                  |    19010-3238
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    Country              |    US
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    Telephone            |    610-527-8118
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    Fax                  |    610-527-3296
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Provider Business Mailing Address
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    Address Line         |    825 OLD LANCASTER RD STE 320 
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    City                 |    BRYN MAWR
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    State                |    PA
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    Zip                  |    19010-3235
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    Country              |    US
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    Telephone            |    610-527-3800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    MD474991
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    License Number State |    PA
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