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General NPI Number Information
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NPI Number | 1649035965
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Entity Type | Organization
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Legal Business Name | COMMUNITIES SPECIALIZED HEALTHCARE AND WELLNESS PC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 20 E CLEVELAND AVE
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City | NORWOOD
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State | PA
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Zip | 19074-1207
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Country | US
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Telephone | 484-472-5100
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Fax | 484-908-6744
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Provider Business Mailing Address
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Address Line | 20 E CLEVELAND AVE
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City | NORWOOD
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State | PA
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Zip | 19074-1207
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Country | US
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Telephone | 484-472-5100
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Fax | 484-908-6744
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN FRIEDRICH
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Credential | DO
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Telephone | 484-472-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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