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General NPI Number Information
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NPI Number | 1669877882
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY MEDICAL SPECIALISTS PC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 1088 W BALTIMORE PIKE SUITE 2105
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City | MEDIA
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State | PA
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Zip | 19063-5146
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Country | US
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Telephone | 610-565-2415
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Fax | 484-444-0111
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Provider Business Mailing Address
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Address Line | 1088 W BALTIMORE PIKE SUITE 2105
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City | MEDIA
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State | PA
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Zip | 19063-5146
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Country | US
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Telephone | 610-565-2415
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Fax | 484-444-0111
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Authorized Official
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Title or Position | OWNER
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Name | MARCO A ALBORNOZ
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Credential | MD
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Telephone | 610-565-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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