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General NPI Number Information
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NPI Number | 1669465209
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Entity Type | Organization
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Legal Business Name | FOUNDATION SURGERY AFFILIATE OF HUNTINGDON VALLEY LP
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1800 BYBERRY ROAD BUILDING 10
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006
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Country | US
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Telephone | 215-914-4600
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Fax | 215-947-8376
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Provider Business Mailing Address
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Address Line | 1800 BYBERRY RD BLDG 10
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-3522
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Country | US
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Telephone | 159-144-6022
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ASHLEY VERBITSKY
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Credential |
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Telephone | 215-914-4602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 17131501
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License Number State | PA
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