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General NPI Number Information
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NPI Number | 1730405226
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Entity Type | Organization
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Legal Business Name | TEMPLE PHYSICIANS INC
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 100 E LEHIGH AVE STE 204
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1012
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Country | US
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Telephone | 215-707-1160
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Fax | 215-707-1157
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Provider Business Mailing Address
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Address Line | 2646 LEFEVRE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19137-1733
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Country | US
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Telephone | 215-831-5147
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Fax | 215-831-5149
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Authorized Official
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Title or Position | LEAD CRED SPECIALIST
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Name | RICHARD VAUGHN
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Credential |
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Telephone | 215-926-9019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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