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General NPI Number Information
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NPI Number | 1730286444
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Entity Type | Organization
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Legal Business Name | PEDIATRIX MEDICAL GROUP OF PENNSYLVANIA, P.C.
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 111 S FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17101-2010
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Country | US
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Telephone | 717-782-3127
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax | 844-686-2961
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | NICHOLAS E. GLASER
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Credential |
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Telephone | 954-384-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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