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General NPI Number Information
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NPI Number | 1679131585
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Entity Type | Organization
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Legal Business Name | ARIA HEALTH PHYSICIAN SERVICES
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 3998 RED LION RD STE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1440
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Country | US
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Telephone | 215-612-8484
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Fax | 215-831-2545
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Provider Business Mailing Address
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Address Line | PO BOX 8500-6335
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City | PHILADELPHIA
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State | PA
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Zip | 19178-6335
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Country | US
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Telephone | 215-481-6873
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Fax | 215-481-3985
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | RONALD KUMOR
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Credential |
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Telephone | 215-612-4858
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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 |
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License Number State |
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