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General NPI Number Information
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NPI Number | 1730277708
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Entity Type | Organization
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Legal Business Name | V-CORE LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 919 CONESTOGA RD SUITE 305
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City | BRYN MAWR
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State | PA
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Zip | 19010-1352
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Country | US
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Telephone | 610-525-0606
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Fax | 267-415-7552
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Provider Business Mailing Address
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Address Line | 919 CONESTOGA RD STE 2-305 BLDG 2, SUITE 305
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City | BRYN MAWR
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State | PA
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Zip | 19010-1353
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Country | US
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Telephone | 610-525-0606
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Fax | 267-415-7552
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW KWAK
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Credential | MD
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Telephone | 610-525-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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