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General NPI Number Information
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NPI Number | 1649411794
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Entity Type | Organization
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Legal Business Name | HARRIS GRATZ D.O. P.C.
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 807 S 3RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3312
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Country | US
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Telephone | 215-467-9496
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Fax | 215-339-8247
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Provider Business Mailing Address
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Address Line | 807 S. 3RD ST.
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3312
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Country | US
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Telephone | 215-467-9496
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Fax | 215-339-8247
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRIS GRATZ
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Credential | D.O.
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Telephone | 215-467-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS007177L
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License Number State | PA
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