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General NPI Number Information
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NPI Number | 1649346776
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Entity Type | Individual
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Provider Name | HENRY EDWARD DAVID DO
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1401 RT 70 E STE 10 SOUTH JERSEY MEDICAL CENTER
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City | CHERRY HILL
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State | NJ
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Zip | 08034
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Country | US
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Telephone | 856-795-3733
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Fax | 856-795-3772
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Provider Business Mailing Address
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Address Line | 28 SOUTHWOOD DRIVE
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City | CHERRY HILL
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State | NJ
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Zip | 08003
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Country | US
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Telephone | 856-751-1206
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Fax | 856-795-3772
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MBO2347300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 140960
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS002625L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9225
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0102201727
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 057205
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2006003817
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License Number State | MO
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