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General NPI Number Information
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NPI Number | 1710393871
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Entity Type | Organization
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Legal Business Name | CONCORDE, INC.
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 1835 MARKET ST 12TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-2994
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Country | US
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Telephone | 215-523-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 MARKET ST 12TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-2968
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Country | US
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Telephone | 215-523-8887
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | MR. ARTHUR COHEN
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Credential |
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Telephone | 215-523-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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