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General NPI Number Information
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NPI Number | 1679800999
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Entity Type | Organization
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Legal Business Name | ROSSI CENTER, PC
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 601 WALNUT ST LL30
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3323
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Country | US
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Telephone | 215-983-8885
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Fax |
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Provider Business Mailing Address
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Address Line | 601 WALNUT ST LL30
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3323
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN ASSISTANT
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Name | MR. JOHN DEL ROSSI
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Credential | PA-C
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Telephone | 215-983-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD008799
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License Number State | PA
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