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General NPI Number Information
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NPI Number | 1689751430
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Entity Type | Organization
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Legal Business Name | BRANDYWINE GASTROENTEROLOGY ASSOCIATES LTD
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 213 REECEVILLE RD SUITE 17
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City | COATESVILLE
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State | PA
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Zip | 19320-1528
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Country | US
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Telephone | 610-384-6076
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Fax | 610-384-4825
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Provider Business Mailing Address
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Address Line | 213 REECEVILLE RD SUITE 17
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City | COATESVILLE
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State | PA
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Zip | 19320-1528
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Country | US
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Telephone | 610-384-6076
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Fax | 610-384-4825
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDERIC ALAN MEYERS
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Credential | M.D.
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Telephone | 610-384-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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