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General NPI Number Information
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NPI Number | 1740332048
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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 | 01/17/2007
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 9892 BUSTLETON AVE STE 101
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City | PHILADELPHIA
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State | PA
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Zip | 19115-2138
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Country | US
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Telephone | 215-676-2741
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Fax | 215-676-2796
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Provider Business Mailing Address
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Address Line | PO BOX 820933
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0933
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Country | US
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Telephone | 215-926-9000
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Fax | 215-226-8285
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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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