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General NPI Number Information
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NPI Number | 1649259862
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Entity Type | Individual
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Provider Name | TARUN MATHUR MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 825 OLD LANCASTER RD SUITE 320
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City | BRYN MAWR
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State | PA
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Zip | 19010-3231
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Country | US
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Telephone | 610-527-3800
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Fax | 610-527-0334
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Provider Business Mailing Address
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Address Line | 825 OLD LANCASTER RD SUITE 320
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City | BRYN MAWR
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State | PA
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Zip | 19010-3231
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Country | US
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Telephone | 610-527-3800
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Fax | 610-527-0334
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD426712
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD426712
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License Number State | PA
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