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General NPI Number Information
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NPI Number | 1730561648
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Entity Type | Individual
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Provider Name | SHRADDHA BABARIYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2015
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 245 N 15TH ST MS 435
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 215-762-1179
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S 11TH ST GIBBON BLDG., SUITE 8220
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-8392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MT209079
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License Number State | PA
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