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General NPI Number Information
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NPI Number | 1649478058
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Entity Type | Organization
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Legal Business Name | BLUE BELL COMPREHENSIVE CARE PC
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 649 W GERMANTOWN PIKE STE 200
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1002
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Country | US
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Telephone | 610-941-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 649 W GERMANTOWN PIKE STE 200
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1002
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Country | US
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Telephone | 610-941-4441
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY CORSON
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Credential | MD
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Telephone | 610-941-4441
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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 | MD010929E
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License Number State | PA
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